2～3岁幼儿鼻窦CT影像解剖学研究

发布时间：2018-07-04 21:55

本文选题：儿童 + 鼻窦　；参考：《临床耳鼻咽喉头颈外科杂志》2017年17期

【摘要】：目的:测量2~3岁正常幼儿鼻窦发育影像解剖数据,了解2~3岁幼儿的鼻窦解剖特点和发育规律。方法:通过CT影像工作站回顾性研究62例2~3岁幼儿的鼻窦冠状位CT,观察各鼻窦是否气化发育,并测量气化鼻窦左右径和上下径。结果:62例幼儿124侧上颌窦、前后组筛窦均气化发育,左侧上颌窦左右径(17.51±2.92)mm,上下径(16.63±3.46)mm;右侧上颌窦左右径(17.28±2.51)mm,上下径(17.24±3.72)mm。左侧前组筛窦左右径(5.06±1.18)mm,上下径(13.61±2.49)mm;右侧前组筛窦左右径(5.00±1.45)mm,上下径(13.64±2.30)mm。左侧后组筛窦左右径(7.94±1.72)mm,上下径(12.80±1.78)mm;右侧后组筛窦左右径(7.88±1.85)mm,上下径(12.64±1.96)mm。124侧蝶窦中120侧(96.77%)可见气化腔,4侧(3.23%)未见气化腔。120侧左侧蝶窦左右径(7.38±3.11)mm,上下径(8.67±3.14)mm;右侧蝶窦左右径(7.48±2.70)mm,上下径(8.63±2.42)mm。124侧额窦中38侧(30.65%)可见气化腔,86侧(69.35%)未见气化腔。结论:2~3岁幼儿上颌窦、前后组筛窦、蝶窦已气化发育,额窦开始气化发育。2~3岁幼儿可患急性鼻炎、鼻窦炎,应给予积极对症治疗,避免并发症发生。
[Abstract]:Objective: to measure the anatomic data of nasal sinus development in children aged 2 to 3 years old, and to understand the anatomic characteristics and developmental regularity of nasal sinuses in children aged 2 to 3 years. Methods: the CT imaging workstation was used to retrospectively study the coronal CT of the paranasal sinuses of 62 children aged 2 to 3 years old, to observe whether the sinuses were vaporized or not, and to measure the diameter of the left and right sides of the vaporized paranasal sinuses. Results 124 sides of maxillary sinus in 62 infants were vaporized, the left maxillary sinus was (17.51 卤2.92) mm, the inferior and inferior diameter was (16.63 卤3.46) mm, the right maxillary sinus was (17.28 卤2.51) mm, the superior and inferior diameter was (17.24 卤3.72) mm. The left and right ethmoid sinuses were (5.06 卤1.18) mm and (13.61 卤2.49) mm in the left anterior ethmoid sinus, and (5.00 卤1.45) mm and (13.64 卤2.30) mm in the right anterior ethmoid sinus. The left and right ethmoid sinus diameter was (7.94 卤1.72) mm, the inferior and inferior diameter was (12.80 卤1.78) mm, the right posterior ethmoid sinus diameter was (7.88 卤1.85) mm, the upper and lower ethmoid sinus diameter was (12.64 卤1.96) mm.124 sphenoid sinus, the vaporization cavity was not seen in 4 sides (3.23%), the left and right sphenoid sinus diameter was (7.38 卤3.11) mm, (8.67 卤3.14) mm in the right posterior group, (7.48 卤2.70) mm in the right sphenoid sinus, and (7.48 卤2.70) mm in the left and right ethmoid sinus. The superior and inferior diameters (8.63 卤2.42) of frontal sinuses in 38 sides (30.65%) showed no gasification cavities in 86 sides (69.35%). Conclusion the maxillary sinus, anterior and posterior ethmoid sinus, sphenoid sinus have been vaporized and the frontal sinus has been vaporized. Children aged 2 to 3 years old may suffer from acute rhinitis and sinusitis, which should be actively treated to avoid complications.
【作者单位】：湖北省妇幼保健院耳鼻咽喉科;
【分类号】：R765;R816.96

【相似文献】