鼻窦炎与解剖异常的相关性研究

Relationship between variations of dissection and chronic sinusitis

目的探讨慢性鼻窦炎与解剖异常的相关性。方法选择2005年5月至12月在山东省立医院眼耳鼻喉医院住院的154例慢性鼻窦炎和2006年1月至9月在青岛大学医学院附属医院耳鼻咽喉-头颈外科住院的132例慢性鼻窦炎患者的临床资料,结合鼻窦CT和鼻内镜术中情况,分析与疾病相关的解剖变异,并与100例正常人比较,讨论其意义。结果慢性鼻窦炎与中重度鼻中隔偏曲、钩突异常、中鼻甲异常、筛泡肥大、鼻丘过度发育、眶下气房均有相关关系。结论解剖变异为鼻窦炎的发生提供了启动因素,其中最常见的解剖异常为鼻中隔偏曲。

Objective To investigate the correlation between variations of dissection and chronic sinusitis. Methods 286 patients with chronic sinusitis and 100 normal persons were selected as the experimental and control groups. Variations of dissection were analyzed by preoperative computed tomography of nasal sinuses and by endoscopy. Result Chronic sinusitis correlated with septal deformity, uncinate process shift and hypertrophy, pneumation and paradoxical curvature of the middle turbinate, ethmoid bulla, agger nasi cell and HaUer＇s cell. Conclusion Variations of dissection, especially of the septal deformity are risk factors for chronic sinusitis.