鼻中隔偏曲与泡状中鼻甲相关性研究

发布时间：2018-05-02 12:00

本文选题：鼻中隔偏曲 + 泡状中鼻甲　；参考：《中国医科大学》2010年硕士论文

【摘要】： 前言鼻中隔不仅作为支撑鼻腔的一个结构,而且在生理上具有重要的作用。鼻中隔偏曲通常指鼻中隔的上下或前后径偏离矢状面,向一侧或两侧偏曲,或者局部形成突起引起鼻腔功能障碍。鼻中隔偏曲是非常常见的鼻腔解剖变异,可以是先天发育而来,也可以是后天获得。慢性鼻-鼻窦炎是鼻科临床的常见多发病,窦口鼻道复合体(OMC)的解剖变异在慢性鼻-鼻窦炎的发病过程中起到重要作用,其中,泡状中鼻甲(CB)是窦口鼻道复合体常见的解剖变异。本研究利用鼻窦冠状位CT探讨鼻中隔偏曲和泡状中鼻甲的相关性。方法分析544例患有鼻中隔偏曲患者的鼻窦冠状位CT,并记录偏曲角度及泡状中鼻甲,统计鼻中隔偏曲患者泡状中鼻甲的发生率,分析偏曲角度与中鼻甲气化程度的相关性,应用mm2面积计算纸记录泡状中鼻甲与同侧眶内面积,并计算泡状中鼻甲气化指数,应用Lund-Mackay评分标准记录鼻窦炎病变范围,分析中鼻甲气化程度与鼻窦炎病变范围的相关性。结果鼻中隔偏曲角度介于2.2-19.2之间,伴有泡状中鼻甲和不伴有泡状中鼻甲的鼻中隔偏曲角度分别为(11.22±2.93)和(11.18±3.26),两者之间没有统计学差异(P0.05)。偏曲对侧泡状中鼻甲气化程度明显高于同侧(P0.05),且偏曲对侧泡状中鼻甲的气化程度与鼻窦炎评分具有线性相关(r=0.39,P0.05)。结论鼻中隔偏曲并未引起泡状中鼻甲的产生,但随着偏曲角度增大,中鼻甲气化程度增大。泡状中鼻甲并未引起鼻窦炎的产生,但似乎参与了鼻窦炎的发展过程。
[Abstract]:Preface Nasal septum is not only a structure supporting nasal cavity, but also plays an important physiological role. Nasal septum deviation usually refers to the deviation of the upper and lower nasal septum or the anteroposterior diameter from the sagittal plane to one or both sides of the nasal septum or the formation of local protrusions to cause nasal dysfunction. Nasal septum deviation is a very common anatomic variation of the nasal cavity. Chronic rhinosinusitis is a common frequent disease in rhinology. The anatomic variation of OMCs plays an important role in the pathogenesis of chronic rhinosinusitis. Vesicular middle turbinate (CBN) is a common anatomic variation of ostioronasal complex. In this study, the coronal CT of nasal sinuses was used to investigate the correlation between septal deviation and bubbly middle turbinate. Method The coronal CTs of nasal sinuses in 544 patients with nasal septum deviation were analyzed, and the angle of deviation and the incidence of bubbly middle turbinate were recorded, and the correlation between the angle of deviation and the degree of middle turbinate gasification was analyzed. The paper was used to calculate the area of bubbly middle turbinate and ipsilateral orbit with mm2 area, and the vaporization index of bubbly middle turbinate was calculated. The scope of sinusitis was recorded by Lund-Mackay scoring standard, and the correlation between the degree of middle turbinate gasification and the extent of nasal sinusitis was analyzed. Result The deviation angle of nasal septum was between 2.2-19.2, the angle of septum deviation with and without bubbly middle turbinate was 11.22 卤2.93 and 11.18 卤3.26, respectively. There was no statistical difference between the two groups (P 0.05). The degree of vaporization of the contralateral bubbly middle turbinate was significantly higher than that of the ipsilateral middle turbinate, and there was a linear correlation between the degree of gasification of the contralateral bubbly middle turbinate and the score of sinusitis. Conclusion Nasal septum deviation did not cause the formation of bubbly middle turbinate, but the degree of middle turbinate gasification increased with the increase of deviation angle. Vesicular middle turbinate does not cause sinusitis, but seems to be involved in the development of sinusitis.
【学位授予单位】：中国医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R765.4

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