腺样体肥大合并儿童鼻窦炎的CT表现与相关性的研究

CT manifestation and correlation of adenoid hypertrophy with sinusitis in children

目的探讨腺样体肥大合并儿童鼻窦炎的CT表现及其相关性的研究。方法对310例经临床手术病理证实为腺样体肥大且术前进行鼻咽部CT扫描的临床影像学资料进行回顾性分析,根据腺样体肥大程度分为两组:中度肥大和重度肥大。分析两组鼻窦炎发病率的差异性及影像学特征。结果中度肥大组CT表现为:上颌窦炎48例,筛窦炎34例,额窦炎6例,蝶窦炎例14例,鼻甲肥大66例;重度肥大组CT表现为:上颌窦炎96例,筛窦炎80例,额窦炎19例,蝶窦炎28例,鼻甲肥大44例。结论腺样体肥大与鼻窦炎发病率呈正相关。重度肥大组分泌性中耳炎及鼻窦炎发病率明显高于中度肥大组,双侧发病率高于单侧。

Objective To study the CT findings and its correlation of adenoids hypertrophy combined with children’s rhinostomatitis.Methods The clinical imaging data of 310 cases of adenoidal hypertrophy and the CT scanning of the nasopharynx were retrospectively analyzed in 310 cases of clinical operation,and the hypertrophy of the adenoids was divided into two groups:moderate hypertrophy and severe hypertrophy.To analyze the difference and imaging characteristics of the incidence of nasal inflammation in the two groups.Results The CT manifestations of the moderate hypertrophy group were as follows:48 cases of the maxillary proinflammatory,34 cases of siphritis,6 cases of the amount of proinflammatory,14 of the butterfly and 66 cases of the turbinate hypertrophy,and the CT manifestations of the severe hypertrophy group were:96 cases of the maxillary proinflammatory,80 cases of the screen panitis,19 cases of the amount of proinflammatory,28 of the butterfly and 44 cases of the hypertrophy of the turbinate.Conclusion adenoid hypertrophy is positively correlated with the incidence of sinusitis.The incidence of secretory otitis media and sinusitis in severe hypertrophy group was higher than that in moderate hypertrophy group.