鼻中隔偏曲与慢性鼻窦炎发病的相关性

Correlation of nasal septum deviation and chronic nasal sinusitis

目的探讨鼻中隔偏曲与慢性鼻窦炎发病的相关性。方法采用高分辨率CT检查慢性鼻窦炎患者582例(A组)和非鼻窦炎的耳鼻喉科疾病患者100例(B组)的鼻腔及鼻窦位置冠状位及水平位鼻窦炎症及鼻中隔偏曲发生情况,分析两者的相关性。结果 A组62.54%(364/582)患者有鼻中隔偏曲,高于B组的22.00%(22/100)(P<0.05);A组患者窄侧鼻窦炎发生率56.28%(269/478),高于宽侧的43.72%(209/478)(P<0.05)。直线相关分析显示,鼻中隔偏曲发生率与慢性鼻窦炎发生率呈正相关(r=0.52,P<0.05)。结论慢性鼻窦炎发生率与患者鼻中隔偏曲密切相关;鼻中隔偏曲患者容易发生窄侧鼻窦炎。

Objective To investigate the correlation of nasal septum deviation and chronic nasal sinusitis. Methods The location of the coronary sinus and nasal cavity level were scaned by high resolution computed tomography（CT） in 582 patients with chronic nasal sinusitis（group A） and 100 patients with other otolaryngological diseases but not nasal sinusitis （group B）. The correlation of nasal septum deviation and nasal sinusitis was analyzed. Results The incidence rate of nasal septum deviation was higher in group A than that in group B（62. 54% vs. 22.00%）（P〈0. 05）. In the patients with nasal septum deviation, the incidence rate of nasal sinusitis was higher on the narrow side than that on the wide side（73.90% vs. 57.42%） （P〈0. 05）. Linear correlation analysis showed that the incidence rate of nasal septum deviation was positively correlated to that of nasal sinusitis（r=0. 52, P^0. 05）. Conclusion The incidence of chronic nasal sinusitis is closely related to nasal septum deviation. The chronic nasal sinusitis on the narrow side occurs easily in the patients with nasal septum deviation.