鼻丘气房形态特征及额窦口参数在慢性额窦炎中的相关性研究

Study on the Correlation between Morphological Characteristics of the Agger Nasi Cell and Frontal Sinus Orifice Parameters in Chronic Frontal Sinusitis

目的三维重建分析鼻丘气房(ANC)形态特征及额窦口(FSO)参数在慢性额窦炎(CFS)中的相关性。方法回顾性分析2019年9月-2022年6月新乡医学院第一附属医院80例确诊单侧CFS患者鼻窦CT,通过Mimics21.0软件分别测量三组间ANC和FSO相关参数,采用Kruskal-wallis检验比较三组间相关参数,采用Spearman秩相关检验分析ANC形态特征及FSO参数的相关性,分析其与CFS病情发展的相关性研究。结果1.ANC体积、表面积、上下径、左右径、前后径在三组间总体比较均有统计学差异(P<0.05);2分组ANC上下径均高于0分组、1分组(P<0.05)。2.FI值及FI截面积在三组间总体比较均有统计学差异(P<0.05);0分组FI值及FI截面积均高于1分组、2分组(P<0.05);1分组FI值及FI截面积均高于2分组(P<0.05)。3.FI值与FI截面积呈正相关(r=0.485,P<0.05);FI值、FI截面积分别与ANC体积、上下径及左右径均呈负相关(r=-0.372,r=-0.332,r=-0.357,r=-0.253,r=-0.423,r=-0.193,P<0.05)。结论1.鼻丘气房体积、上下径及左右径与FI值、FI截面积均呈负相关,ANC形态通过影响FI值、FI截面积,可使CFS病情加重。2.FI值、FI截面积与CFS病情程度呈负相关,可作为额窦口参数中评估FSO是否狭窄的一个客观监测指标。

Objective To analyze the morphological characteristics of nasal moumulus air chamber(ANC)and the correlation of frontal sinus orifice(FSO)parameters in chronic frontal sinusitis(CFS)with threedimensional reconstruction.Methods A retrospective analysis was performed for sinus CT in 80 patients with confirmed unilateral CFS in the First Affiliated Hospital of Xinxiang Medical College from September 2019 to June 2022,the ANC and FSO related parameters were measured by Mimics21.0 software,the correlation parameters between the three groups were compared by Kruskal-wallis test,and the correlation between ANC morphological characteristics and FSO parameters was analyzed by Spearman rank correlation test,and the correlation between ANC morphological characteristics and FSO parameters was analyzed.Results 1.There were statistically significant differences in ANC volume,surface area,upper and lower diameters,left and right diameters,and anterior-posterior diameters among the three groups(P<0.05).The upper and lower diameters of ANC in group 2 were higher than those in group 0 and group 1(P<0.05).2.There were statistically significant differences in FI value and FI cross-sectional area among the three groups(P<0.05).The FI value and cross-sectional area of group 0 were higher than those of group 1 and group 2(P<0.05).The FI value and cross-sectional area of group 1 were higher than those of group 2(P<0.05).3.The FI value was positively correlated with the FI cross-sectional area(r=0.485,P<0.05).The FI value and FI cross-sectional area were negatively correlated with the ANC volume,upper and lower diameters,and left and right diameters,respectively(r=-0.372,r=-0.332,r=-0.357,r=-0.253,r=-0.423,r=-0.193,P<0.05).Conclusion 1.The volume,upper and lower diameters,and left and right diameters of the nasal mound are negatively correlated with the FI value and FI cross-sectional area,and the ANC morphology can aggravate the CFS disease by affecting the FI value and FI cross-sectional area.2.The FI value and FI cross-sectional area were negatively correlated with the severity of CFS,which could be used as an objective monitoring index to evaluate whether FSO is stenosis in the frontal sinus orifice parameters.