额窦口参数及鼻丘气房形态学与慢性额窦炎病情严重程度的关系
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1.兰州大学第一医院耳鼻咽喉头颈外科;2.兰州大学第一临床医学院

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The relationship between parameters of frontal ostium and morphological parameters of the agger nasi cell and the severity of chronic frontal sinusitis
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1.The First Clinical Medical College,Lanzhou University;2.Gansu;3.Department of Otorhinolaryngology Head and Neck Surgery,the First Hospital of Lanzhou University

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    摘要:

    目的 探讨额窦口参数及鼻丘气房形态学与慢性额窦炎(Chronic frontal sinusitis,CFS)病情严重程度的关系。方法 回顾性分析25例正常患者及113例CFS患者,根据软组织密度率(Soft tissue density rate,STDR;%)将研究对象分为0分、1分、2分、3分组及4分组,应用鼻窦CT数据进行额窦及鼻丘气房三维重建并测量相关参数。采用Kruskal-wallis检验分析额窦口参数及鼻丘气房形态学与CFS病情严重程度的关系。结果 ①鼻丘气房形态学参数:CFS鼻丘气房体积、表面积、上下径、左右径、前后径大于正常对照组(P<0.05);②额峡部前后径(The anterior-to-posterior (A-P) length of the frontal isthmus,FI)、FI截面积CFS组均明显小于正常对照组(P<0.05),且3分组及4分组均小于1分组(P<0.05);③FI截面积与FI值、额隐窝的前后径(The A-P length of the frontal recess,FR)呈正相关(rs=0.606,rs=0.213,P<0.05),与鼻丘气房体积、表面积及上下径呈弱的负相关(rs=-0.154,rs=-0.161,rs=-0.250,P<0.05),鼻丘气房体积与FI呈弱的负相关(rs=-0.276,P<0.05)。结论 鼻丘气房形态学参数和FI、FI值截面积参与慢性额窦炎的发生、发展,且FI值、FI截面积与疾病的严重程度存在一定正性关系。

    Abstract:

    Objective To investigate the relationship between parameters of frontal ostium and morphological parameters of agger nasi cell and the severity of chronic frontal sinusitis(CFS). Methods Retrospective analysis of 25 normal patients and 113 patients with CFS, according to the soft tissue density rate(STDR, %),the subjects were divided into groups 0, 1, 2, 3 and 4. The CT data of normal patients and CFS group were used for three- dimensional reconstruction of frontal sinus and agger nasi cell, and relevant parameters were measured.The Kruskal-wallis test was used to analyze the relationship between parameters of frontal ostium and morphological parameters of agger nasi cell and the severity of CFS. Results ①The morphological parameters of the agger nasi cell: the volume, surface area, vertical diameter, anteroposterior diameter, and mediolateral dimension of the nasal nasi cell in the CFS group were larger than those in the normal control group (P<0.05); ②The value of the anterior-to-posterior (A-P) length of the frontal isthmus(FI) and FI cross-sectional area in the CFS were significantly smaller than those in the normal control group (P< 0.05), and the groups 3 and 4 were smaller than those in the group 1 (P< 0.05); ③FI cross-sectional area was positively correlated with FI and FR values (rs=0.606,rs =0.213,P<0.05) and weakly negatively correlated with the volume, surface area and vertical diameter of the nasal nasi cell (rs=-0.154, rs=-0.161, rs=-0.250, P<0.05), and the volume of the nasal nasi cell was weakly negatively correlated with FI (rs=-0.276, P<0.05). Conclusion Morphological parameters of the agger nasi cell and FI value and FI cross-sectional area are involved in the occurrence and development of CFS, and are positively correlated with the severity of CFS.

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  • 收稿日期:2021-11-02
  • 最后修改日期:2022-01-12
  • 录用日期:2022-03-07
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