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目的:研究我国儿童的鼻窦发育规律,探讨儿童鼻窦炎性疾病与鼻窦发育的相关性,为儿童鼻窦及其相关疾病的治疗提供依据。方法:随机选取无鼻窦相关病史儿童1705例及有鼻窦相关病史患儿1424例,均行螺旋CT检查,测量各鼻窦矢状径、冠状径及上下径,并进行统计分析。结果:有鼻窦病史者各鼻窦发育径线值均大于无病史者(P<0.01);经Pearson相关性分析,性别与鼻窦相关病史间差异无统计学意义(P>0.05),儿童年龄与鼻窦相关病史有低度相关(P<0.01),CT影像学诊断与临床鼻窦炎诊断有中高度一致性。结论:鼻窦炎患儿与正常儿童之间鼻窦发育存在差异,鼻窦炎患儿鼻窦总体发育好于正常儿童。
Objective: To study the law of sinus development in children in our country, and to explore the correlation between sinusitis and sinus development in children and to provide evidence for the treatment of children with sinus and related diseases. Methods: A total of 1705 children with no history of sinus diseases and 1424 children with history of sinus diseases were randomly selected. All patients underwent spiral CT examinations. The sagittal, coronal diameters and diameters of the sinuses were measured and statistically analyzed. Results: There was no significant difference in the history of paranasal sinuses between the two groups (P <0.01). According to Pearson correlation analysis, there was no significant difference in gender and paranasal sinus disease history (P> 0.05) There was a low correlation between related histories (P <0.01). There was a high degree of consistency between CT imaging diagnosis and clinical sinusitis diagnosis. Conclusion: There are differences in sinus development between children with sinusitis and normal children. Sinuses in children with sinusitis generally develop better than normal children.