中鼻甲垂直部长度和慢性鼻窦炎的相关性研究

Study of the relationship between vertical length of middle turbinate and chronic sinusitis

目的探讨中鼻甲垂直部上下径的长度(中鼻甲长度)与慢性鼻窦炎的相关性,为术中处理中鼻甲提供参考依据。方法结合CT和鼻内镜检查结果,对106例慢性鼻窦炎患者和50例健康志愿者的中鼻甲垂直部长度进行对比分析。对慢性鼻窦炎的CT结果进行Lund-mackey评分,对两组中鼻甲长度进行独立样本均数t检验;对慢性鼻窦炎程度与中鼻甲长度的相关性进行Pearson相关分析。结果慢性鼻窦炎组中鼻甲长度为(23.9198±3.4611)mm,对照组中鼻甲长度为(21.3600±2.9900)mm,两组比较差异具有统计学意义(t=6.348,P<0.01);慢性鼻窦炎患者Lund-mackey评分结果为(5.9198±2.5603)分,鼻甲长度与Lund-mackey CT评分呈正相关(r=0.253,P=0.000)。结论中鼻甲垂直部的长度与慢性鼻窦炎发生有相关性,中鼻甲过长可能也是导致慢性鼻窦炎发生发展的原因之一,术中可根据中鼻甲的长度适当处理。

Objective To explore the relationship between vertical length of middle turbinate （MT） and chronic sinusitis to provide reference evidence and theoretical basis for MT management. Methods Clinical data of 106 patients （ 212 sides ） with chronic sinusitis and 50 healthy volunteers （ 100 sides ） were analyzed retrospectively via combining the results of CT scan and nasal endoscopy. The Lund-Maekey scores of the patients with chronic sinusitis were obtained. The comparison of the length of MT in both groups was performed with t-test, and the relationship between the length of MT and the Lund-Mackey scores in the chronic sinusitis group was evaluated with Pearson correlation analysis. Results According to CT scan, the average length of MT was 23.9198 ± 3.4611 mm in chronic sinusitis group, while that was 21. 3600 ±2. 9900 mm in healthy volunteers group; The the difference was statistically significant （t = 6. 348 ,P 〈0.01 ）. The average Lund-Mackey score in the chronic sinusitis group was 5. 9198 ±2. 5603. Pearson analysis showed that the vertical length of MT was positively correlated with the Lund-Maekey score in the chronic sinusitis group （ r = 0.253 , P = 0. 000 ）. Conclusions The vertical length of MT is positively correlated with the development of chronic sinusitis. The overlength MT may play an important role in the pathogenesis of chronic sinusitis. The MT should be managed properly according to its physical length during operation.