中鼻甲垂直部长度和鼻窦炎病变程度关系探讨

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

目的探讨慢性鼻窦炎患者中鼻甲垂直部上下径的长度情况,分析其长度和鼻腔病变程度、窦口鼻道复合体(OMC)堵塞程度及年龄、性别等的关系。方法通过螺旋CT扫描图像,测量128例(332侧)慢性鼻窦炎患者的中鼻甲垂直部长度,分别对前、后组鼻窦炎病变程度进行Lund-mackey CT评分,并行鼻内镜检查Lund-Kenedy评分。采用SPSS 19.0软件进行统计学分析。结果 128例(332侧)慢性鼻窦炎患者中鼻甲垂直部长度范围15-38mm,大于等于23mm的257侧(77.4%);男性中鼻甲垂直部长度大于女性(P<0.01);中鼻甲长度和性别显著相关(r=-0.168, P=0.002,),和年龄相关性无统计学意义(r=0.08,P=0.144);OMC堵塞组中甲长度大于OMC无堵塞组(P<0.01),中甲长度和OMC堵塞相关性有统计学意义(r=0.257,P=0.000)。结论中鼻甲垂直部长度可以通过CT图像进行测量,中鼻甲垂直部长度可能和患者性别、鼻腔鼻窦病变程度等相关,期待更深入、多中心的研究共同关注中鼻甲垂直部长度和鼻窦炎的关系,为“量化切除部分中鼻甲”提供更多参考依据。

Objective To explore the vertical length of middle turbinate(MT)of chronic sinusitis,and to analyze the the relationship between the vertical length of MT and age,gender,the degree of nasal lesions and the blockage of the Ostiomeatal complex(OMC).Methods The verticle length of MT in 168 cases(332 sides)with chronic sinusitis were measured in coronal CT scans.Scoring for extent of anterior and posterior sinusitis was done in accordance with Lund-Mackay CT classification system and Lund-Kenedy system;The statistical analysis was performed by using SPSS19.0 system.Results The extent of verticle length in 168 cases(332 sides)with chronic sinusitis of MT was 15-38 mm,257 sides(77.4%)greater than or equal to 23 mm,and the length of MT in male was greater than in female(P<0.01).The length of MT was significantly correlated with gender(r=-0.168,P=0.002),but not statistically significant with age(r=0.08,P=0.144).The length of MT in the OMC blockage group was greater than that in the OMC non-blocking group(P<0.01),the relationship between the length of MT with OMC blockage was statistically significant(r=0.257,P=0.000).Conclusion The vertical length of MT in chronic sinusitis can be measured by CT scans,and it may be related to gender and the degree of nasal sinus lesions.We look forward to more and more in-depth and multi-center studies to focus on the relationship between the vertical length of MT and sinusitis,and provide more reference frame for the"quantitative partiel middle turbinectomy".