沈阳军区飞行人员鼻部宝石CT资料分析

Analyzing nasal CT scanning graph of the 82 aircrew in the Shenyang military area

目的了解飞行人员鼻部解剖变异及慢性鼻窦炎(chronic rhinosinusitis,CRS)患病情况,为鼻科招飞、疾病诊治和医学鉴定提供依据。方法分析研究82例飞行人员的鼻部宝石CT扫描资料,对解剖变异和CRS情况进行评估。结果 82例飞行人员鼻部变异总出现率达100%,常见变异类型包括鼻中隔偏曲(70.7%)、钩突变异(偏曲、缺如或肥大)(67.1%)、额气房(63.4%)、中鼻甲变异(肥大、气化或反常曲线)(54.9%)和下鼻甲变异(肥大或骨质增生)(42.7%)等。CRS的检出率为42.7%。窦口鼻道复合体(ostiomeatal complex,OMC)的解剖变异的CRS发病率比无变异组高(P<0.05)。结论飞行人员中鼻部解剖变异常见,尤以OMC处最为重要,与CRS的高发病率密切相关。鼻部CT检查有助于更及时准确地发现解剖变异和诊断鼻窦炎,应重视其在招飞、诊治和医学鉴定中的作用。

Objective To explore prevalence of nasal anatomy abnormality and the chronic rhinosinusitis（CRS）,and to provide the evidence for aircrew recruitment in nasal cavity,diagnosis and treatment of disease and medical evaluation.Methods The nasal CT scanning graph of the 82 aricrews were anaylsed and evaluated for the anatomy abnormality and the chronic rhinosinusitis.Results For 82 aricrews,general incidence of the nasal anatomy abnormality was 100%.The types of common variants were deviation of nasal septum（70.7%）,uncinate process（67.1%）,frontal cells（63.4%）,middle turbinate（54.9%） and inferior turbinate（42.7%）.The prevalence rate of CRS was 42.7%.The prevalence of CRS and the abnormality of OMC was statistically significant（P〈0.05）.Conclusion Nasal anatomy abnormality was common among aircrew,especially at OMC and closely related to the high incidence of CRS.Nasal HRCT can well display the nasal anatomy abnormality and diagnosis CRS,so the role of CT scanning should be attached great importance to.