影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (6): 1052-1055.DOI: 10.7517/issn.1674-0475.200506

• 综述与论文 • 上一篇    下一篇

多层螺旋CT后处理技术应用于窦口-鼻道复合体变异及鼻窦炎的临床诊断价值

徐丽娜, 杨磊, 史亚荣, 恽佳, 金秋燕, 潘清云, 闵浩   

  1. 常州市第三人民医院 放射科, 江苏 常州 213001
  • 收稿日期:2020-05-12 出版日期:2020-11-15 发布日期:2020-11-15
  • 通讯作者: 徐丽娜

Clinical Diagnostic Value of Multi-slice Spiral CT Post-processing Technique Applied to Sinus-nasal Complex Mutation and Sinusitis

XU Lina, YANG Lei, SHI Yarong, YUN Jia, JIN Qiuyan, PAN Qingyun, MIN Hao   

  1. Department of Radiology, The Third People's Hospital of Changzhou, Changzhou 213001, Jiangsu, P. R. China
  • Received:2020-05-12 Online:2020-11-15 Published:2020-11-15

摘要: 探究多层螺旋CT后处理技术应用于窦口-鼻道复合体变异及鼻窦炎的临床诊断价值。选取慢性鼻窦炎患者112例为研究对象,采用多层螺旋CT平面重组,观察患者窦口-鼻道复合体的解剖变异、鼻窦炎症情况。结果显示,窦口-鼻道复合体解剖变异中泡状鼻甲所占比例最大(30.36%),其次为鼻中隔偏曲(23.21%)和钩突肥厚(13.39%)。112例患者鼻-鼻窦炎症分布中,前组筛窦比例最大(88.39%),其次为上颌窦口(69.64%)和上颌窦(66.07%)。23例行功能性内镜鼻窦手术者,其病变部位术中内镜所见与CT显示一致。说明多层螺旋CT后处理技术应用于鼻窦炎患者窦口-鼻道复合体的结构解剖及变异中具有重要价值。

关键词: 多层螺旋CT, 窦口-鼻道复合体变异, 鼻窦炎

Abstract: To explore the value of multi-slice spiral CT post-processing technology in the diagnosis of sinus-nasal complex and sinusitis.112 patients with chronic sinusitis were selected as the subjects. The plane reconstruction of multi-slice spiral CT was used to observe the anatomical variation of the sinus-nasal complex and the inflammation of the sinuses. The results showed that the vesicular turbinate accounted for the largest proportion of the anatomical variation of the sinus ostium-nasal canal complex in 112 patients, reaching 30.36%, followed by nasal septum deviation (23.21%) and uncinate hypertrophy (13.39%). Among the 112 patients with nasal-sinus inflammation distribution, the anterior group had the largest proportion of ethmoid sinus, reaching 88.39%, followed by maxillary sinus ostia (69.64%) and maxillary sinus (66.07%). In 23 cases of functional endoscopic sinus surgery, the endoscopic findings of the lesions were consistent with the CT display. It is concluded that the use of multi-slice spiral CT post-processing technology has an important role in the anatomical structure and variation of the sinus-nasal tract complex in patients with sinusitis.

Key words: multi-slice spiral CT, sinus-nasal complex variation, sinusitis