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目的用高分辨率CT对鼻腔鼻窦炎进行影像学分析,探讨窦口鼻道复合体(OMC)区的解剖变异与儿童鼻窦炎、成人慢性鼻-鼻窦炎的关系。方法回顾性分析有明显临床表现且经CT扫描确诊为慢性鼻-鼻窦炎167例的临床资料,年龄4~74岁,并将其影像学资料分为儿童组和成人组,并对其分析结果进行比较。结果 1儿童组和成人组的窦腔炎症最常累及上颌窦、前组筛窦和额窦;2儿童组的窦口鼻道复合体区解剖变异与慢性鼻-鼻窦炎的发生没有明显关系,而成人组的窦口鼻道复合体区解剖变异与慢性鼻-鼻窦炎的发生关系显著(P<0.05)。结论窦口鼻道复合体区的解剖变异对儿童慢性鼻-鼻窦炎的发生不如对成人的影响大,儿童慢性鼻-鼻窦炎的诊断和手术指征不能单凭异常的鼻窦CT扫描图作为惟一依据,应该切实联系临床症状。
Objective To analyze the nasal sinusitis by high resolution CT and discuss the relationship between anatomic variation of sinus ostiomeatal complex (OMC) and childhood sinusitis and adult chronic rhinosinusitis. Methods The clinical data of 167 patients with obvious clinical manifestations and confirmed by CT scanning of chronic rhinosinusitis were retrospectively analyzed. The data were divided into children group and adult group, and the results of their analysis Compare. Results 1 Sinusitis in children and adults most often involved maxillary sinus, anterior ethmoidal sinus and frontal sinus. There was no significant relationship between anatomical variation of sinus ostiomerization complex and chronic rhinosinusitis in 2 children group, However, there was a significant relationship between the anatomical variation of sinus ostiomeatal complex and the incidence of chronic rhinosinusitis in adult group (P <0.05). Conclusion Anatomic variation of the ostiometrics complex in nasal passages is not as influential in children with chronic rhinosinusitis as in adults. Diagnosis and surgical indications of chronic rhinosinusitis in children may not be the only Basis, should effectively contact clinical symptoms.