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目的:观察常年性变应性鼻炎患者鼻窦炎发生的原因及发生率。方法:回顾性分析57例常年性变应性鼻炎患者的临床资料。结果:18例并发鼻窦炎,发生率为32%;其中17例伴有不同程度不同类型的鼻腔解剖结构异常,包括鼻中隔偏曲、中鼻甲气化、钩突肥大、中鼻甲曲线异常和鼻丘气房过度发育等。39例单纯变应性鼻炎者只有7例伴有鼻腔解剖结构异常。结论:变应性鼻炎并发鼻窦炎的基础可能是鼻腔解剖结构异常,变态反应导致的鼻腔黏膜水肿和鼻腔分泌物性质的改变是鼻窦炎的诱发因素之一。
Objective: To observe the causes and incidence of sinusitis in patients with perennial allergic rhinitis. Methods: Retrospective analysis of 57 cases of perennial allergic rhinitis in patients with clinical data. Results: The incidence of sinusitis in 18 cases was 32%. There were 17 cases with different types of nasal anatomy abnormalities including nasal septum deviation, middle turbinate gasification, uncinate hypertrophy, abnormal middle turbinate curve and nasal Room over-development and so on. Only 39 of 39 patients with allergic rhinitis had nasal anatomy abnormalities. CONCLUSIONS: The basis of allergic rhinitis complicated with sinusitis may be abnormal nasal anatomy. Allergic nasal mucosa edema and changes of nasal secretions may be one of the inducing factors of sinusitis.