中鼻甲泡與鼻中隔偏曲及兩者與慢性鼻—鼻竇炎關(guān)系
發(fā)布時(shí)間：2019-05-22 16:55
【摘要】：一、目的： 探討球型中鼻甲泡的發(fā)生與鼻中隔偏曲是否相關(guān),并分析兩者與慢性鼻-鼻竇炎的關(guān)系。 二、方法： 1.972例(1944側(cè))患者的鼻竇冠狀位CT片,為本研究各種統(tǒng)計(jì)數(shù)據(jù)的來源。 2.統(tǒng)計(jì)鼻中隔偏曲和無鼻中隔偏曲、高位偏曲和低位偏曲的球型鼻甲泡發(fā)生情況,并測量球型鼻甲泡橫徑,探討球型鼻甲泡發(fā)生與鼻中隔偏曲的關(guān)系。 3.觀察慢性鼻-鼻竇炎和球型鼻甲泡,并分析球型鼻甲泡與慢性鼻-鼻竇炎發(fā)生的關(guān)系。在CT片上測量球型鼻甲泡的橫徑數(shù)值,得出球型鼻甲泡的橫徑平均值,評估各球型鼻甲泡的大小。在同一CT片上,觀察單側(cè)和雙側(cè)有球型鼻甲泡者與慢性鼻-鼻竇炎的發(fā)生情況,并測量球型鼻甲泡橫徑,探討其大小與慢性鼻-鼻竇炎的關(guān)系。 4.觀察鼻中隔偏曲,把鼻中隔偏曲分為高位偏曲和低位偏曲,分析鼻中隔偏曲與慢性鼻-鼻竇炎發(fā)生的關(guān)系。 三、結(jié)果： 1.972例共1944側(cè)的慢性鼻-鼻竇炎發(fā)生率為22.63%(440側(cè)/1944側(cè))。球型鼻甲泡患者142例,發(fā)生率9.72%(189側(cè)/1944側(cè)),其中單側(cè)球型鼻甲泡95例,雙側(cè)球型鼻甲泡47例。鼻中隔偏曲發(fā)生率18.72%(182例/972例),其中高位偏曲60例,低位偏曲122例。 2.在本組資料中,182例鼻中隔偏曲組球型鼻甲泡共31例,其中1例為雙側(cè)球型鼻甲泡,30例為單側(cè)球型鼻甲泡,占8.79%(32側(cè)/364側(cè)),790例無鼻中隔偏曲組球型鼻甲泡共111例,其中48例為雙側(cè)球型鼻甲泡,63例為單側(cè)球型鼻甲泡,占10.06%(159側(cè)/1580側(cè)),兩組間球型鼻甲泡發(fā)生率無顯著性差異(P0.05)。高位偏曲患者60例,存在單側(cè)球型鼻甲泡20例,均位于鼻中隔凹側(cè),無雙側(cè)球型鼻甲泡,占16.67%(20側(cè)/120側(cè)),在低位偏曲患者122例中,出現(xiàn)單側(cè)球型鼻甲泡10例,位于鼻中隔凹側(cè),雙側(cè)球型鼻甲泡1例,占4.92%(20側(cè)/244側(cè)),高位偏曲組與低位偏曲組球型鼻甲泡發(fā)生率有顯著性差異(P0.05)。鼻中隔偏曲組和無鼻中隔偏曲組球型鼻甲泡橫徑均值分別為5.58±1.79mm和4.12±1.78mm,兩者之間差異具有顯著性(P0.01)。高位偏曲組和低位偏曲組球型鼻甲泡橫徑均值為5.92±1.87mm和4.80±1.35mm,兩組間無顯著性差異(P0.05)。 3.142例球型鼻甲泡患者中,95例單側(cè)球型鼻甲泡者有鼻甲泡側(cè)發(fā)生慢性鼻-鼻竇炎35側(cè),占36.84%(35側(cè)/95側(cè)),無鼻甲泡側(cè)發(fā)生慢性鼻-鼻竇炎20側(cè),占21.05%(20側(cè)/95側(cè)),兩組間慢性鼻-鼻竇炎發(fā)生率有顯著性差異(P0.05)。47例雙側(cè)球型鼻甲泡組慢性鼻-鼻竇炎共47側(cè),占50.00%(47側(cè)/94側(cè)),830例無球型鼻甲泡組慢性鼻-鼻竇炎共338側(cè),占20.36%(338側(cè)/1660側(cè)),兩組間慢性鼻-鼻竇炎發(fā)生率有顯著性差異(P0.01)。單側(cè)、雙側(cè)球型鼻甲泡不同鼻甲泡大小者慢性鼻-鼻竇炎發(fā)生率無顯著性差異(P0.05)。 4.182例鼻中隔偏曲組慢性鼻-鼻竇炎有60例,占32.97%(60例/182例),無鼻中隔偏曲患者790例,有慢性鼻-鼻竇炎217例,占27.47%(217例/790例),兩組間慢性鼻-鼻竇炎發(fā)生率無顯著性差異(P0.05)。60例高位偏曲患組,發(fā)生慢性鼻-鼻竇炎27例,占45.00%(27例/60例),122例低位偏曲患中,發(fā)生慢性鼻-鼻竇炎33例,發(fā)生率27.05%(33例/122例),兩組間慢性鼻-鼻竇炎發(fā)生率有顯著性差異(P0.05)。無論高位偏曲還是低位偏曲,鼻中隔凸側(cè)與凹側(cè)慢性鼻-鼻竇炎發(fā)生率無顯著性差異(P0.05)。 四、結(jié)論： 1.鼻中隔高位偏曲與球型鼻甲泡的發(fā)生有關(guān),尤其是凹側(cè)易出現(xiàn)球型鼻甲泡。 2.球型鼻甲泡與慢性鼻-鼻竇炎的發(fā)生有相關(guān)性,但慢性鼻-鼻竇炎的發(fā)生與球型鼻甲泡的大小無關(guān)。 3.鼻中隔高位偏曲與慢性鼻-鼻竇炎有相關(guān)性。
[Abstract]:I. Purpose: To explore the correlation between the occurrence of the nasal turbinate and the deviation of the nasal septum, and to analyze the correlation between the two and the chronic nasal-nasal inflammation. Department II Methods: 1.972 cases (1944) of the patient's nose-and-coronal CT were used to study the various statistics of the study. 2. The origin of the data.2. The occurrence of the nasal septum of the nasal septum and the non-nasal septum of the nasal septum, the high-order partial and the low-order partial flexion, and the diameter of the spherical nasal meatus were measured, and the occurrence and the nose of the spherical nasal turbinate were discussed. 3. The relationship of the deviation of the septum was observed.3. To observe the chronic nasal-nasal inflammation and the spherical turbinate, and to analyze the spherical nasal and chronic nose. The transverse diameter of the spherical turbinate was measured on the CT, and the mean value of the transverse diameter of the spherical turbinate was obtained. The size and size of the spherical nasal turbinates were observed on the same CT slice. The occurrence of the unilateral and bilateral spherical turbinate and the chronic nasal-nasal inflammation was observed, and the diameter of the spherical nasal turbinate was measured, and the size and the slow rate were discussed. 4. The relationship of nasal-nasal-nasal inflammation was observed.4. The nasal septum deviation was observed, and the nasal septum was divided into high-position and low-position, and the deviation of the nasal septum was analyzed. nasal-nose-nose The incidence of chronic nasal-nose-nose inflammation was 22 in the total of 1.972 cases. 63% (440 side/1944).142 patients with spherical turbinate, with a rate of 9.72% (189 sides/1944), with one-sided spherical turbinate The incidence of nasal septum deviation was 18.72% (182/972), and the incidence of nasal septum deviation was 18.72% (182/972). 2. In the data of this group, there were 31 cases of spherical nasal turbinate in 182 cases of nasal septum, of which 1 case was bilateral spherical turbinate and 30 cases of unilateral spherical turbinate, accounting for 8.79% (32 sides/364 sides) and 790 cases. There were 111 cases of spherical turbinate in the non-nasal septum group, of which 48 were bilateral spherical turbinate and 63 were unilateral spherical turbinate, accounting for 10.06% (159 side/1580 side), and the two groups of spherical nasal turbinate. There was no significant difference in the incidence of the bubble (P0.05). It is located on the concave side of the nasal septum,1 case of the bilateral spherical nasal cavity, 4.92% (20 side/244 side), the high-position deviation group and the low-position eccentric group ball type nose nail. There was a significant difference in the incidence of the bubble (P0.05). The mean square diameter of the nasal septum and the non-nasal septum were 5.58, 1.79 mm and 4.12-1.78 mm, respectively. There was a significant difference between the two groups (P 0.01). The mean diameter of the spherical nasal turbinate in the high-order and low-position group was 5.92-1.87 mm and 4.80-1.35mm. There was no significant difference between the two groups (P0.05). There was a significant difference in the incidence of chronic nasal-nasal inflammation between the two groups (P0.05). 20.36% (338 side/1660 side), two groups of chronic nose- There was a significant difference in the incidence of nasal inflammation (P0.01). There was no significant difference in the incidence of nose-nose inflammation (P0.05). There were 27 cases (45.00%) of chronic nasal-nose-nasal inflammation (45.00%) and 122 cases of low-order partial-flexion, and the incidence was 27.05% (33/122). There was a significant difference in the incidence of nasal-nose-nose inflammation (P0.05). nose-nose-nasal inflammation There was no significant difference in the incidence of nasal septum (P0.05). It is related to the occurrence of spherical turbinate, especially in the concave side. There is a correlation, but the occurrence of chronic nasal-nose-nose inflammation is associated with the spherical nasal turbinate.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R765.21
本文編號：2483087
[Abstract]:I. Purpose: To explore the correlation between the occurrence of the nasal turbinate and the deviation of the nasal septum, and to analyze the correlation between the two and the chronic nasal-nasal inflammation. Department II Methods: 1.972 cases (1944) of the patient's nose-and-coronal CT were used to study the various statistics of the study. 2. The origin of the data.2. The occurrence of the nasal septum of the nasal septum and the non-nasal septum of the nasal septum, the high-order partial and the low-order partial flexion, and the diameter of the spherical nasal meatus were measured, and the occurrence and the nose of the spherical nasal turbinate were discussed. 3. The relationship of the deviation of the septum was observed.3. To observe the chronic nasal-nasal inflammation and the spherical turbinate, and to analyze the spherical nasal and chronic nose. The transverse diameter of the spherical turbinate was measured on the CT, and the mean value of the transverse diameter of the spherical turbinate was obtained. The size and size of the spherical nasal turbinates were observed on the same CT slice. The occurrence of the unilateral and bilateral spherical turbinate and the chronic nasal-nasal inflammation was observed, and the diameter of the spherical nasal turbinate was measured, and the size and the slow rate were discussed. 4. The relationship of nasal-nasal-nasal inflammation was observed.4. The nasal septum deviation was observed, and the nasal septum was divided into high-position and low-position, and the deviation of the nasal septum was analyzed. nasal-nose-nose The incidence of chronic nasal-nose-nose inflammation was 22 in the total of 1.972 cases. 63% (440 side/1944).142 patients with spherical turbinate, with a rate of 9.72% (189 sides/1944), with one-sided spherical turbinate The incidence of nasal septum deviation was 18.72% (182/972), and the incidence of nasal septum deviation was 18.72% (182/972). 2. In the data of this group, there were 31 cases of spherical nasal turbinate in 182 cases of nasal septum, of which 1 case was bilateral spherical turbinate and 30 cases of unilateral spherical turbinate, accounting for 8.79% (32 sides/364 sides) and 790 cases. There were 111 cases of spherical turbinate in the non-nasal septum group, of which 48 were bilateral spherical turbinate and 63 were unilateral spherical turbinate, accounting for 10.06% (159 side/1580 side), and the two groups of spherical nasal turbinate. There was no significant difference in the incidence of the bubble (P0.05). It is located on the concave side of the nasal septum,1 case of the bilateral spherical nasal cavity, 4.92% (20 side/244 side), the high-position deviation group and the low-position eccentric group ball type nose nail. There was a significant difference in the incidence of the bubble (P0.05). The mean square diameter of the nasal septum and the non-nasal septum were 5.58, 1.79 mm and 4.12-1.78 mm, respectively. There was a significant difference between the two groups (P 0.01). The mean diameter of the spherical nasal turbinate in the high-order and low-position group was 5.92-1.87 mm and 4.80-1.35mm. There was no significant difference between the two groups (P0.05). There was a significant difference in the incidence of chronic nasal-nasal inflammation between the two groups (P0.05). 20.36% (338 side/1660 side), two groups of chronic nose- There was a significant difference in the incidence of nasal inflammation (P0.01). There was no significant difference in the incidence of nose-nose inflammation (P0.05). There were 27 cases (45.00%) of chronic nasal-nose-nasal inflammation (45.00%) and 122 cases of low-order partial-flexion, and the incidence was 27.05% (33/122). There was a significant difference in the incidence of nasal-nose-nose inflammation (P0.05). nose-nose-nasal inflammation There was no significant difference in the incidence of nasal septum (P0.05). It is related to the occurrence of spherical turbinate, especially in the concave side. There is a correlation, but the occurrence of chronic nasal-nose-nose inflammation is associated with the spherical nasal turbinate.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R765.21
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