本文選題：真菌球性上頜竇炎 + 鼻腔解剖變異��； 參考：《廣西醫(yī)科大學》2014年碩士論文

【摘要】：目的：通過分析真菌球性上頜竇炎患者鼻竇CT表現(xiàn),測量骨性鼻腔鼻道容積,研究骨性中鼻道容積、鼻腔容積以及中鼻道容積占鼻腔容積比、鼻腔解剖結(jié)構(gòu)變異與真菌球性上頜竇炎發(fā)生的相關(guān)性,并對一些相關(guān)問題進行討論。 方法：測量真菌球性上頜竇炎組、單側(cè)上頜竇炎組、正常人組的雙側(cè)骨性中鼻道容積、鼻腔容積及中鼻道所占的容積比,觀察鼻腔解剖結(jié)構(gòu)變異(鼻中隔偏曲、泡狀中鼻甲、鉤突肥大、篩泡肥大、Haller氣房),真菌球性上頜竇炎組入選33例,其余兩組每組入選均30例,對各組鼻腔鼻道容積及解剖變異的結(jié)果進行統(tǒng)計學分析比較。 結(jié)果：真菌球性上頜竇炎組患側(cè)與健側(cè)骨性中鼻道容積、鼻腔容積、中鼻道容積占鼻腔比分別為1.5964±0.3961mm3、1.5724±0.4109mm322.6833±2.7079mm3、22.833±3.0945mm3、7.0706±1.7455%、7.1245±1.9267%；單側(cè)上頜竇炎組患側(cè)與健側(cè)骨性中鼻道容積、鼻腔容積、中鼻道容積占鼻腔比分別為1.4580±0.4360mm3、1.4507±0.4165mm3、21.9447±3.4379mm3、21.8030±3.3106mm3、6.69737±1.9212%、6.6550±1.6234%；上述兩組的患側(cè)與健側(cè)容積比較,差異無統(tǒng)計學意義；正常人組骨性中鼻道容積、鼻腔容積、中鼻道容積占鼻腔比分別為1.3532±0.2790mm3、21.507±3.0948mm3、6.3588±1.2409%,分別比較真菌球性上頜竇炎組患側(cè)與正常組的骨性中鼻道容積、鼻腔容積、中鼻道容積占鼻腔容積比例，，p值分別為0.03、0.07、0.025,骨性中鼻道容積及其占鼻腔容積比例的差異有統(tǒng)計學意義,而兩組的鼻腔容積差異無統(tǒng)計學意義；比較單側(cè)上頜竇炎組患側(cè)與正常組的骨性中鼻道容積、鼻腔容積、中鼻道容積占鼻腔容積比例,p值分別為0.17、0.559、0.315,差異均無統(tǒng)計學意義 真菌球性上頜竇炎組中病變發(fā)生在中鼻道寬側(cè)者占45.45%、發(fā)生在窄側(cè)者占51.52%,單側(cè)慢性上頜竇炎組中病變發(fā)生在中鼻道寬側(cè)者占46.67%、發(fā)生在窄側(cè)者占53.33%；在真菌球性上頜竇炎組、單側(cè)慢性鼻竇炎組、正常組中,鼻中隔偏曲的發(fā)生率分別為24.24%、50%、33.33%,p值為0.098,差異無統(tǒng)計學意義,竇口鼻道復(fù)合體(OMC)變異率分別為30.3%、26.67%、26.67%,p值為0.932,差異無統(tǒng)計學意義,鼻腔解剖結(jié)構(gòu)變異的發(fā)生率分別為54.55%、80%、60%,p值為0.17,差異無統(tǒng)計學意義；分別比較三組中各組鼻中隔偏曲的角度,雙側(cè)對比,p值分別為0.212、0.758、0.401,差異無統(tǒng)計學意義。 結(jié)論：骨性中鼻道容積增大可能與真菌球性上頜竇炎的發(fā)生存在一定的相關(guān)性；鼻腔解剖結(jié)構(gòu)變異包括OMC變異和鼻中隔偏曲與真菌球性上頜竇炎和單側(cè)上頜竇炎的發(fā)生無顯著性相關(guān)。
[Abstract]:Objective: to analyze the CT findings of nasal sinusitis and measure the volume of osseous nasal cavity and nasal canal, and to study the volume of middle nasal canal, the volume of nasal cavity and the ratio of volume of middle nasal canal to nasal cavity. The relationship between nasal anatomic structure variation and fungal spheroid maxillary sinusitis was discussed. Methods: the volume of bilateral middle osseous nasal tract, nasal cavity volume and volume ratio of middle nasal canal were measured in the fungal spherical maxillary sinusitis group, unilateral maxillary sinusitis group, and normal control group. The anatomic structure variation of nasal cavity (nasal septum deviation, bubbly middle turbinate) was observed. There were 33 cases in the group of hyphal process hypertrophy, Haller chamber of ethmoalveolar hypertrophy and fungal bulbar maxillary sinusitis, and 30 cases in each group. The results of nasal cavity volume and anatomic variation in each group were analyzed and compared statistically. Results: the ratio of osseous middle nasal tract volume, nasal cavity volume and middle nasal canal volume to nasal cavity in the fungal spherical maxillary sinusitis group was 1.5964 鹵0.3961 mm ~ 3 鹵1.5724 鹵2.7079 mm ~ 3 鹵22.833 鹵3.0945 mm ~ 3 / 7.070706 鹵1.74557.1245 鹵1.9267.The volume of middle nasal canal, nasal cavity volume and nasal cavity volume in unilateral maxillary sinusitis group were respectively 1.5964 鹵0.3961 mm ~ 3 鹵2.7079 mm ~ (3) and 7.0706 鹵1.745 mm ~ (3) 鹵1.926 7. The volume ratio of middle nasal canal to nasal cavity was 1.4580 鹵0.4360mm 31.4507 鹵0.4165mm, 21.9447 鹵3.4379mm 3fl, 21.8030 鹵3.3106mm 3c6.69737 鹵1.921212 鹵6.921212 鹵6.66550 鹵1.62344.There was no significant difference between the two groups. The ratio of middle nasal tract volume to nasal cavity was 1.3532 鹵0.2790 mm 321.507 鹵3.0948 mm 30.3588 鹵1.2409, respectively. The osseous middle nasal tract volume and nasal cavity volume were compared between the affected side of fungal spherical maxillary sinusitis group and the normal group. The ratio of middle nasal tract volume to nasal cavity volume was 0.03 ~ 0.07 ~ 0.025, respectively. There was significant difference in osseous middle nasal tract volume and its proportion to nasal cavity volume, but there was no significant difference in nasal cavity volume between the two groups. There was no significant difference between unilateral maxillary sinusitis group and normal group in terms of osseous middle nasal volume, nasal cavity volume, middle nasal tract volume to nasal cavity volume ratio (p = 0.17 ~ 0.559 ~ 0.315), respectively. In the fungal maxillary sinusitis group, the lesions occurred in the broad side of the middle nasal canal (45.45%), in the narrow side (51.52%), in the unilateral chronic maxillary sinusitis group (46.67%), in the narrow side (53.33%), in the scleroidal sinusitis group (46.67%), in the narrow side (53.33%), in the unilateral chronic maxillary sinusitis group (46.67%), in the narrow side (53.33%). In the unilateral chronic sinusitis group and the normal group, the incidence of nasal septum deviation was 24.24%, the difference was not statistically significant (P = 0.098). The variation rate of OMCs in sinusitis complex was 30.3R 26.67R 26.67% and 0.932, respectively, the difference was not statistically significant. The incidences of nasal anatomic structure variation were 54.55 and 0.17, respectively, and there was no significant difference between the three groups in the angle of nasal septum deviation, the bilateral contrast value was 0.212 and 0.7580.401 respectively, the difference was not statistically significant. Conclusion: the increase of osseous middle nasal tract volume may be related to the occurrence of fungal maxillary sinusitis. There was no significant correlation between the variation of nasal anatomic structure including OMC variation and deviation of nasal septum and the occurrence of fungal spheroidal maxillary sinusitis and unilateral maxillary sinusitis.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R765.42

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