中鼻道容积与真菌球性上颌窦炎相关性研究

发布时间：2018-05-30 15:06

本文选题：真菌球性上颌窦炎 + 鼻腔解剖变异　；参考：《广西医科大学》2014年硕士论文

【摘要】：目的：通过分析真菌球性上颌窦炎患者鼻窦CT表现,测量骨性鼻腔鼻道容积,研究骨性中鼻道容积、鼻腔容积以及中鼻道容积占鼻腔容积比、鼻腔解剖结构变异与真菌球性上颌窦炎发生的相关性,并对一些相关问题进行讨论。方法：测量真菌球性上颌窦炎组、单侧上颌窦炎组、正常人组的双侧骨性中鼻道容积、鼻腔容积及中鼻道所占的容积比,观察鼻腔解剖结构变异(鼻中隔偏曲、泡状中鼻甲、钩突肥大、筛泡肥大、Haller气房),真菌球性上颌窦炎组入选33例,其余两组每组入选均30例,对各组鼻腔鼻道容积及解剖变异的结果进行统计学分析比较。结果：真菌球性上颌窦炎组患侧与健侧骨性中鼻道容积、鼻腔容积、中鼻道容积占鼻腔比分别为1.5964±0.3961mm3、1.5724±0.4109mm322.6833±2.7079mm3、22.833±3.0945mm3、7.0706±1.7455%、7.1245±1.9267%；单侧上颌窦炎组患侧与健侧骨性中鼻道容积、鼻腔容积、中鼻道容积占鼻腔比分别为1.4580±0.4360mm3、1.4507±0.4165mm3、21.9447±3.4379mm3、21.8030±3.3106mm3、6.69737±1.9212%、6.6550±1.6234%；上述两组的患侧与健侧容积比较,差异无统计学意义；正常人组骨性中鼻道容积、鼻腔容积、中鼻道容积占鼻腔比分别为1.3532±0.2790mm3、21.507±3.0948mm3、6.3588±1.2409%,分别比较真菌球性上颌窦炎组患侧与正常组的骨性中鼻道容积、鼻腔容积、中鼻道容积占鼻腔容积比例，，p值分别为0.03、0.07、0.025,骨性中鼻道容积及其占鼻腔容积比例的差异有统计学意义,而两组的鼻腔容积差异无统计学意义；比较单侧上颌窦炎组患侧与正常组的骨性中鼻道容积、鼻腔容积、中鼻道容积占鼻腔容积比例,p值分别为0.17、0.559、0.315,差异均无统计学意义真菌球性上颌窦炎组中病变发生在中鼻道宽侧者占45.45%、发生在窄侧者占51.52%,单侧慢性上颌窦炎组中病变发生在中鼻道宽侧者占46.67%、发生在窄侧者占53.33%；在真菌球性上颌窦炎组、单侧慢性鼻窦炎组、正常组中,鼻中隔偏曲的发生率分别为24.24%、50%、33.33%,p值为0.098,差异无统计学意义,窦口鼻道复合体(OMC)变异率分别为30.3%、26.67%、26.67%,p值为0.932,差异无统计学意义,鼻腔解剖结构变异的发生率分别为54.55%、80%、60%,p值为0.17,差异无统计学意义；分别比较三组中各组鼻中隔偏曲的角度,双侧对比,p值分别为0.212、0.758、0.401,差异无统计学意义。结论：骨性中鼻道容积增大可能与真菌球性上颌窦炎的发生存在一定的相关性；鼻腔解剖结构变异包括OMC变异和鼻中隔偏曲与真菌球性上颌窦炎和单侧上颌窦炎的发生无显著性相关。
[Abstract]:Objective: to analyze the CT findings of nasal sinusitis and measure the volume of osseous nasal cavity and nasal canal, and to study the volume of middle nasal canal, the volume of nasal cavity and the ratio of volume of middle nasal canal to nasal cavity. The relationship between nasal anatomic structure variation and fungal spheroid maxillary sinusitis was discussed. Methods: the volume of bilateral middle osseous nasal tract, nasal cavity volume and volume ratio of middle nasal canal were measured in the fungal spherical maxillary sinusitis group, unilateral maxillary sinusitis group, and normal control group. The anatomic structure variation of nasal cavity (nasal septum deviation, bubbly middle turbinate) was observed. There were 33 cases in the group of hyphal process hypertrophy, Haller chamber of ethmoalveolar hypertrophy and fungal bulbar maxillary sinusitis, and 30 cases in each group. The results of nasal cavity volume and anatomic variation in each group were analyzed and compared statistically. Results: the ratio of osseous middle nasal tract volume, nasal cavity volume and middle nasal canal volume to nasal cavity in the fungal spherical maxillary sinusitis group was 1.5964 卤0.3961 mm ~ 3 卤1.5724 卤2.7079 mm ~ 3 卤22.833 卤3.0945 mm ~ 3 / 7.070706 卤1.74557.1245 卤1.9267.The volume of middle nasal canal, nasal cavity volume and nasal cavity volume in unilateral maxillary sinusitis group were respectively 1.5964 卤0.3961 mm ~ 3 卤2.7079 mm ~ (3) and 7.0706 卤1.745 mm ~ (3) 卤1.926 7. The volume ratio of middle nasal canal to nasal cavity was 1.4580 卤0.4360mm 31.4507 卤0.4165mm, 21.9447 卤3.4379mm 3fl, 21.8030 卤3.3106mm 3c6.69737 卤1.921212 卤6.921212 卤6.66550 卤1.62344.There was no significant difference between the two groups. The ratio of middle nasal tract volume to nasal cavity was 1.3532 卤0.2790 mm 321.507 卤3.0948 mm 30.3588 卤1.2409, respectively. The osseous middle nasal tract volume and nasal cavity volume were compared between the affected side of fungal spherical maxillary sinusitis group and the normal group. The ratio of middle nasal tract volume to nasal cavity volume was 0.03 ~ 0.07 ~ 0.025, respectively. There was significant difference in osseous middle nasal tract volume and its proportion to nasal cavity volume, but there was no significant difference in nasal cavity volume between the two groups. There was no significant difference between unilateral maxillary sinusitis group and normal group in terms of osseous middle nasal volume, nasal cavity volume, middle nasal tract volume to nasal cavity volume ratio (p = 0.17 ~ 0.559 ~ 0.315), respectively. In the fungal maxillary sinusitis group, the lesions occurred in the broad side of the middle nasal canal (45.45%), in the narrow side (51.52%), in the unilateral chronic maxillary sinusitis group (46.67%), in the narrow side (53.33%), in the scleroidal sinusitis group (46.67%), in the narrow side (53.33%), in the unilateral chronic maxillary sinusitis group (46.67%), in the narrow side (53.33%). In the unilateral chronic sinusitis group and the normal group, the incidence of nasal septum deviation was 24.24%, the difference was not statistically significant (P = 0.098). The variation rate of OMCs in sinusitis complex was 30.3R 26.67R 26.67% and 0.932, respectively, the difference was not statistically significant. The incidences of nasal anatomic structure variation were 54.55 and 0.17, respectively, and there was no significant difference between the three groups in the angle of nasal septum deviation, the bilateral contrast value was 0.212 and 0.7580.401 respectively, the difference was not statistically significant. Conclusion: the increase of osseous middle nasal tract volume may be related to the occurrence of fungal maxillary sinusitis. There was no significant correlation between the variation of nasal anatomic structure including OMC variation and deviation of nasal septum and the occurrence of fungal spheroidal maxillary sinusitis and unilateral maxillary sinusitis.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R765.42

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