慢性鼻窦炎与鼻部解剖异常的相关性研究

慢性鼻窦炎与鼻部解剖异常的相关性研究

刘刚张莉邓宇元李梅芳

湖南中医院耳鼻喉科，湖南长沙

[摘要]目的探讨慢性鼻窦炎与鼻部解剖异常的相关性。方法选取本院年12月～年12月收治的慢性鼻窦炎患者例为观察组，选取同期该科室非慢性鼻窦炎患者例为对照组，分别行CT扫描和鼻内镜检查，分析慢性鼻窦炎与鼻部解剖异常的相关性。结果观察组钩突异常、鼻中隔严重偏曲、中鼻甲异常、鼻筛泡过度肥大、鼻眶下有气房、鼻丘过度气化的发生率均明显高于对照组，差异均有统计学意义（P＜0.05）。观察组上颌窦发育不良的发生率高于对照组，差异无统计学意义（P＞0.05）。慢性鼻窦炎与钩突异常、鼻中隔严重偏曲、中鼻甲异常、鼻筛泡过度肥大、鼻眶下有气房、鼻丘过度气化具有一定的正相关性。结论慢性鼻窦炎的发生常伴有鼻部解剖异常改变，钩突异常、鼻中隔严重偏曲、中鼻甲异常、鼻筛泡过度肥大、鼻眶下有气房、鼻丘过度气化均是启动慢性鼻窦炎发生的关键因素。

[关键词]慢性鼻窦炎；鼻部解剖异常；相关性研究；相关性

[中图分类号]R.4+1[文献标识码]A[文章编号]-（）12（a）--02

Correlationresearchonchronicsinusitisandnasalanatomicabnormality

LIUGangZHANGLiDENGYuyuanLIMeifang

E.N.T.Department,People′sHospitalofHu′nanUniversityofChineseMedicine(SecondPeople′sHospitalofHu′nanProvince),Changsha,China

[Abstract]ObjectiveToinvestigatethecorrelationresearchonchronicsinusitisandnasalanatomicabnormality.MethodsOnehundredandthirty-twopatientswithchronicsinusitiswereselectedinthehospitalfromDecembertoDecemberastheobservationgroup.patientswithnonchronicsinusitiswereselectedinthehospitalatthesameperiodasthecontrolgroup.AllpatientsperformedCTscanningandendoscopicexamination.Correlationbetweenchronicsinusitisandnasalanatomicabnormalitwereanalysised.ResultsTheuncinateprocessabnormalities,nasalseptumdeviation,severelyabnormalmiddleturbinate,nasalethmoidalbullahypertrophy,nasalorbitalgasroom,nosehillexcessivepneuma-tizationoftheoccurrencerateintheobservationgroupweresignificantlyhigherthanthoseinthecontrolgroup,whilethedifferencewasstatisticallysignificant(P0.05).Themaxillarysinushypoplasiaoccurrencerateintheobservationgroupwashigherthanthatinthecontrolgroup,whilethedifferencewasnotstatisticallysignificant(P0.05).Chronicsinusitishadcertainpositivecorrelationwithuncinateprocessabnormal,nasalseptumdeviation,severelyabnormalmiddleturbinate,nasalethmoidalbullahypertrophy,nasalorbitalgasroom,nosehillexcessivegasification.ConclusionTheoccurrenceofchronicsinusitisisoftenac







































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