中鼻甲的形态学参数与慢性上颌窦炎的相关性

Correlation between morphologic parameters of middle turbinate and chronic maxillary sinusitis

摘要:

目的 探讨中鼻甲形态学参数与慢性上颌窦炎（CMS）的关系。方法 回顾90例双侧CMS患者和60例健康人的鼻窦CT，在上颌窦口层面测量中鼻甲长度及卷曲度，并比较两组的差异。采用Lund-Mackay评分评估CMS组的病情严重程度，将Lund-Mackay评分与测量参数进行相关性分析。通过多元线性回归探究影响病情严重程度的主要因素。采用SPSS 25.0进行统计学分析。结果 ①正常组和CMS组的中鼻甲长度分别为9.94（8.45，12.77）mm和8.97（7.05，11.69）mm，正常组的中鼻甲长度大于CMS组，差异具有统计学意义（P<0.01）；中鼻甲卷曲度分别为5.47（3.82，7.29）mm和5.22（3.11，6.84）mm，差异无统计学意义（P>0.05）；②CMS组上颌窦中，中鼻甲长度和卷曲度均与Lund-Mackay评分呈负相关（分别为r=-0.186，P<0.05；r=-0.250，P<0.01）；③多元线性回归显示中鼻甲卷曲度是影响Lund-Mackay评分的主要影响因素（P<0.05）。结论 中鼻甲长度与CMS的发生及严重程度呈负相关，中鼻甲卷曲度与CMS的发生无明显相关性，但中鼻甲卷曲度较小的CMS患者病情更严重。

Abstract:

Objective To explore the relationship between morphological parameters of middle turbinate and chronic maxillary sinusitis (CMS). Methods A retrospective study was performed on computerized tomographic (CT) data from 90 cases of bilateral CMS (CMS group) and 60 normal adults (control group). The length and degree of curling of middle turbinate were measured on the level of maxillary sinus orifice, and their differences between the two groups were compared. Lund-Mackay score was used to evaluate the severity of the disease in CMS group, and the correlation between the Lund-Mackay score and the measurement parameters was analyzed. The main factors affecting the severity of CMS were explored through multivariate linear regression analysis, and SPSS 25.0 was used for statistical analysis. Results ①The lengths of middle turbinate in the control group and the CMS group were 9.94 (8.45, 12.77) mm and 8.97 (7.05, 11.69) mm, respectively. The length of middle turbinate in the normal group was larger than that in the CMS group, and the difference was statistically significant (P<0.01). The degrees of curling of middle turbinate in the control group and the CMS group were 5.47 (3.82, 7.29) mm and 5.22 (3.11, 6.84) mm respectively, and the difference was statistically insignificant (P>0.05). ②In the CMS group, the length and degree of curling of middle turbinate were negatively correlated with the Lund-Mackay score respectively (r=-0.186,P<0.05; r=-0.250,P<0.01). ③Multiple linear regression analysis showed that the degree of curling of middle turbinate was the main factor affecting the Lund-Mackay score (P<0.05). Conclusions The length of middle turbinate is negatively correlated with the occurrence and severity of CMS. There is no significant correlation between the degree of curling and the occurrence of CMS, but patients with lower degree of curling of middle turbinate may have more serious CMS.