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目的:研究中鼻甲高度和鼻窦炎的关系。方法:分析94例(185侧)经CT检查、手术和(或)临床证实的患者资料。将中鼻甲与半月裂的关系分为裂上型(中鼻甲下缘位于半月裂以上),裂口型(中鼻甲下缘位于半月裂水平至半月裂以下2mm以内)和裂下型(中鼻甲下缘位于半月裂以下部分大于2mm)。将不同中鼻甲高度、鼻中隔偏曲、中鼻甲气化、中鼻甲反向、钩突变异、筛大泡、Haller气房、鼻丘气房等解剖变异及各型鼻窦炎发生的侧数进行统计学分析。结果:裂上型+裂口型与裂下型比较,中鼻甲气化等解剖变异无统计学意义(P>0.05)。3种不同中鼻甲发育类型的各型鼻窦炎的发病率差异有统计学意义(P<0.01),裂上型和裂口型鼻窦炎的发生率高于裂下型(P<0.01),2、3型鼻窦炎(伴鼻息肉)的发生率亦高于裂下型(P<0.01),1型鼻窦炎的发生率与裂下型差异无统计学意义(P>0.05)。结论:中鼻甲高度变异的发生与鼻腔、鼻窦其他解剖变异无关;中鼻甲发育短小是鼻窦炎、鼻息肉发生的危险因素。
Objective: To study the relationship between middle turbinate height and sinusitis. Methods: 94 patients (185 sides) were examined by CT, surgery and / or clinically confirmed patient data. The relationship between the middle turbinate and the half-moon split into split type (middle turbinate lower edge located in more than half-moon), rip-type (middle turbinate lower edge at the level of half-moon to the level below the half-moon crack within 2mm) Edge located in the following part of the half-moon more than 2mm). Anatomical variation of the middle turbinate height, deviation of the nasal septum, gasification of the middle turbinate, reverse middle middle turbinate, mutation of the hook, large sieve bubble, Haller atrium, nasal cavity and other anatomical variations and side of the incidence of various types of sinusitis statistics Analysis. Results: There was no significant difference in gastrulation of middle turbinate (P> 0.05) between split type and split type versus split type. There were significant differences in the incidence of each type of sinusitis between the three types of middle turbinate (P <0.01). The incidence of split upper and breaching sinusitis was higher than that of the split type (P <0.01) The incidence of type 3 sinusitis (with nasal polyps) was also higher than that of the fissured type (P <0.01). The incidence of type 1 sinusitis was not significantly different from that of the fissured type (P> 0.05). CONCLUSION: There is no correlation between the height variation of middle turbinate and other anatomical variations of nasal and sinus. The short development of middle turbinate is the risk factor of sinusitis and nasal polyps.