本文選題：鼻中隔偏曲 + 泡狀中鼻甲��； 參考：《中國(guó)醫(yī)科大學(xué)》2010年碩士論文

【摘要】： 前言 鼻中隔不僅作為支撐鼻腔的一個(gè)結(jié)構(gòu),而且在生理上具有重要的作用。鼻中隔偏曲通常指鼻中隔的上下或前后徑偏離矢狀面,向一側(cè)或兩側(cè)偏曲,或者局部形成突起引起鼻腔功能障礙。鼻中隔偏曲是非常常見的鼻腔解剖變異,可以是先天發(fā)育而來,也可以是后天獲得。慢性鼻-鼻竇炎是鼻科臨床的常見多發(fā)病,竇口鼻道復(fù)合體(OMC)的解剖變異在慢性鼻-鼻竇炎的發(fā)病過程中起到重要作用,其中,泡狀中鼻甲(CB)是竇口鼻道復(fù)合體常見的解剖變異。本研究利用鼻竇冠狀位CT探討鼻中隔偏曲和泡狀中鼻甲的相關(guān)性。 方法 分析544例患有鼻中隔偏曲患者的鼻竇冠狀位CT,并記錄偏曲角度及泡狀中鼻甲,統(tǒng)計(jì)鼻中隔偏曲患者泡狀中鼻甲的發(fā)生率,分析偏曲角度與中鼻甲氣化程度的相關(guān)性,應(yīng)用mm2面積計(jì)算紙記錄泡狀中鼻甲與同側(cè)眶內(nèi)面積,并計(jì)算泡狀中鼻甲氣化指數(shù),應(yīng)用Lund-Mackay評(píng)分標(biāo)準(zhǔn)記錄鼻竇炎病變范圍,分析中鼻甲氣化程度與鼻竇炎病變范圍的相關(guān)性。 結(jié)果 鼻中隔偏曲角度介于2.2-19.2之間,伴有泡狀中鼻甲和不伴有泡狀中鼻甲的鼻中隔偏曲角度分別為(11.22±2.93)和(11.18±3.26),兩者之間沒有統(tǒng)計(jì)學(xué)差異(P0.05)。偏曲對(duì)側(cè)泡狀中鼻甲氣化程度明顯高于同側(cè)(P0.05),且偏曲對(duì)側(cè)泡狀中鼻甲的氣化程度與鼻竇炎評(píng)分具有線性相關(guān)(r=0.39,P0.05)。 結(jié)論 鼻中隔偏曲并未引起泡狀中鼻甲的產(chǎn)生,但隨著偏曲角度增大,中鼻甲氣化程度增大。泡狀中鼻甲并未引起鼻竇炎的產(chǎn)生,但似乎參與了鼻竇炎的發(fā)展過程。
[Abstract]:Preface Nasal septum is not only a structure supporting nasal cavity, but also plays an important physiological role. Nasal septum deviation usually refers to the deviation of the upper and lower nasal septum or the anteroposterior diameter from the sagittal plane to one or both sides of the nasal septum or the formation of local protrusions to cause nasal dysfunction. Nasal septum deviation is a very common anatomic variation of the nasal cavity. Chronic rhinosinusitis is a common frequent disease in rhinology. The anatomic variation of OMCs plays an important role in the pathogenesis of chronic rhinosinusitis. Vesicular middle turbinate (CBN) is a common anatomic variation of ostioronasal complex. In this study, the coronal CT of nasal sinuses was used to investigate the correlation between septal deviation and bubbly middle turbinate. Method The coronal CTs of nasal sinuses in 544 patients with nasal septum deviation were analyzed, and the angle of deviation and the incidence of bubbly middle turbinate were recorded, and the correlation between the angle of deviation and the degree of middle turbinate gasification was analyzed. The paper was used to calculate the area of bubbly middle turbinate and ipsilateral orbit with mm2 area, and the vaporization index of bubbly middle turbinate was calculated. The scope of sinusitis was recorded by Lund-Mackay scoring standard, and the correlation between the degree of middle turbinate gasification and the extent of nasal sinusitis was analyzed. Result The deviation angle of nasal septum was between 2.2-19.2, the angle of septum deviation with and without bubbly middle turbinate was 11.22 鹵2.93 and 11.18 鹵3.26, respectively. There was no statistical difference between the two groups (P 0.05). The degree of vaporization of the contralateral bubbly middle turbinate was significantly higher than that of the ipsilateral middle turbinate, and there was a linear correlation between the degree of gasification of the contralateral bubbly middle turbinate and the score of sinusitis. Conclusion Nasal septum deviation did not cause the formation of bubbly middle turbinate, but the degree of middle turbinate gasification increased with the increase of deviation angle. Vesicular middle turbinate does not cause sinusitis, but seems to be involved in the development of sinusitis.
【學(xué)位授予單位】：中國(guó)醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R765.4

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