青少年慢性副鼻窦炎67例CT分析

CT appearance of teenager chronic paranasal sinusitis

目的探讨CT检查在青少年慢性副鼻窦炎中的诊断及术前评估价值。方法回顾性分析67例经手术和病理证实的青少年慢性副鼻窦炎的冠状位CT资料。结果 67例患者中,鼻中隔偏曲21例、额窦未发育2例、蝶窦未发育1例。漏斗型12例,占17.91%,窦口鼻道复合体型31例,占46.27%,蝶筛隐窝型5例,占7.46%,息肉型19例,占28.36%。结论冠状位CT能清晰的显示鼻窦和中鼻道的解剖及变异,为术前诊断,确定治疗方案及预后评估提供重要的解剖依据,是目前诊断青少年慢性副鼻窦炎疾病的重要的影像学方法。

Objects To explore the diagnostic and preoperative assessment value of CT in the diagnosis of chronic adolescent paranasal sinusitis.MethodsAll the coronal CT images of 67 cases chronic adolescent paranasal sinusitis confirmed by surgery and pathology were analyzed retrospectively.ResultsAmong these patients,21 cases were deviation of nasal septum,2 cases were immature of frontal sinus,1 cases was immature of sphenoid sinus,12 cases（17.91%） were funnel type,31 cases（46.27%） were ostiomeatal complex type,5 cases（7.46%） were sphenoethmoidal recess type and 19 cases（28.36%） were polyp type.ConclusionCoronal CT images could reveal the anatomy and variation of sinus and middle meatus clearly and provide important anatomic foundation for preoperative diagnosis,determining treatment protocol and prognosis assessment.It is an important image technique to diagnose chronic adolescent paranasal sinusitis.