论文部分内容阅读
为探讨窦口鼻道复合体（OMC）在易窦炎发生中的重要作用。对22例（30侧鼻腔）因慢性耳窦炎而接受功能性易窦内窥镜手术的患者，术前应用冠状CT影像进行定量分析，同时对术中取出的OMC区粘膜（中鼻甲、钩突、筛泡）行扫描电镜检查，用图像分析仪定量测定纤毛覆盖面积。结果发现CT影像病变程度与纤毛上皮损伤成正相关。提示：作为各易窦引流口集中部位的OMC区的病变引起纤毛上皮的损害，进而使粘液纤毛清除均能降低，是鼻窦炎慢性化和复发的重要因素。
In order to explore the important role of ostiomeatal complex (OMC) in the pathogenesis of easy sinusitis. Twenty-two patients (30 nasal) who underwent functional endoscopic sinus surgery for chronic otolaryngology were preoperatively analyzed by coronary CT. Quantitative analysis was performed on the OMC mucosa (middle turbinate, hook Sudden, sieve bubble) line scanning electron microscopy, quantitative determination of cilia area with an image analyzer. The results showed that the degree of CT lesion and ciliated epithelial injury is positively correlated. It is suggested that the lesion in the OMC area, which is the focal site of each stenosis, leads to the damage of ciliated epithelium and further reduces the mucociliary clearance, which is an important factor of chronic sinusitis and recurrence.