Research on 3-D reconstruction of sphenoid sinus in children and adolescents in Yunnan region
-
摘要: 目的:通过螺旋CT影像学研究,重建蝶窦三维立体形态,探讨儿童及青少年蝶窦发育与年龄的相关性。方法:选取120例0~20岁儿童及青少年正常的鼻窦CT扫描资料,分为5个年龄组(<2岁组、2~7岁组、>7~10岁组、>10~14岁组、>14~20岁组);重建蝶窦三维立体形态;分别测量二维和三维立体形态蝶窦最大前后径、左右径、上下径,分析儿童及青少年蝶窦发育与年龄的相关性。结果:二维和三维方法测量下左、右蝶窦前后径、左右径及上下径均与年龄呈正相关,差异有统计学意义(P<0.05)。结论:云南地区儿童及青少年蝶窦气化发育与年龄呈线性相关关系,且随年龄增加而增长。通过Simplant软件重建冠状位和矢状位的三维CT有助于了解儿童及青少年蝶窦的三维立体图像,从而帮助临床医师了解鼻窦发育的现状,有助于鼻窦疾病的术前评估。[JP]Abstract: Objective:To research the correlation between development of sphenoid sinus and age in normal children and adolescents by 3-D CT images. Method:Review of CT images of the skulls of 120 children and adolescents aged 0~20 years old. They were divided into five groups. Then reconstructed 3-D shape of the sphenoid sinus, and measureed the maximal anteroposterior diameter, longitudinal diameter, and transverse diameter of the bilateral sphenoid sinus by the 2-D and 3-D approach respectively, then process statistical analysis.Result:Pearson analyses revealed a positive correlation between various diameters of sphenoid sinus measured by 2-D and 3-D approach and age (P<0.05).Conclusion:The development of sphenoid sinus has a linear correlation with age, and increases with age and growth in Yunnan region. It helps to know the three-dimensional CT images of the sphenoid sinus in children and adolescents by Simplant software, thereby allow the clinicians to understand the current situation of the development of sphenoid sinus. Meanwhile, it contributes to preoperative evaluation of sinus problems.
-
Key words:
- sphenoid sinus /
- imaging /
- three-dimensional /
- computed tomography /
- child /
- adolescent
-
-
[1] WOLF G, ANDERHUBER W, KUHN F.Development of the paranasal sinuses in children:implications for paranasal sinus surgery[J].Ann Otol Rhinol Laryngol, 1993, 102:705-711.
[2] WEIGLEIN A, ANDERHUBER W, WOLF G.Radiologic anatomy of the paranasal sinuses in the child[J].Surg Radiol Anat, 1992, 14:335-339.
[3] SPAETH J, KRUGELSTEIN U, SCHLONDORFF G.The paranasal sinuses in CT-imaging:development from birth to age 25[J].Int J Pediatr Otorhinolaryngol, 1997, 39:25-40.
[4] IKEDA A.Volumetric measurement of the maxillary sinus by coronal CT scan[J].Nihon Jibiinkoka Gakkai Kaiho, 1996, 99:1136-1143.
[5] LEE C H, RHEE C S, OH S J, et al.Development of the Paranasal Sinuses in children:A MRI Study[J].Korean Journal of Otorhinolaryngology-Head and Neck Surgery, 2000, 43:507-513.
[6] DUERINCKX A J, HALL T R, WHYTE A M, et al.Paranasal sinuses in pediatric patients by MRI:normal development and preliminary findings in disease[J].Eur J Radiol, 1991, 13:107-112.
[7] 蔡梅钦, 胡冰, 秦峰, 等.CT仿真内镜对蝶窦三维解剖的显示及在垂体瘤经蝶窦手术的应用[J].中国耳鼻咽喉头颈外科, 2011, 18 (10):544-547.
[8] 尚红坤, 阮标, 李斯斯, 等.上颌窦三维立体形态与上颌窦炎关系的研究[J].临床耳鼻咽喉头颈外科杂志, 2012, 26 (20):921-925.
[9] 刘兰祥, 徐丽丽.100例儿童正常副鼻窦的MRI表现[J].中国医学影像学杂志, 2005, 13 (5):350-352.
[10] MA Y X, ZHANG W J, YAN Z H, et al.Normal pneumatization time of paranasal sinuses in 799children:evaluation with magnetic resonance imaging[J].Zhonghua Yi Xue Za Zhi, 2013, 93:816-818.
[11] REITTNER P, DOERFLER O, GORITSCHNIG T, et al.Magnetic resonance imaging patterns of the development of the sphenoid sinus:a review of 800pa-tients[J].Rhinology, 2001, 39:121-124.
[12] PARK I H, SONG J S, CHOI H, et al.Volumetric study in the development of paranasal sinuses by CT imaging in Asian:apilot study[J].Int J Pediatr Otorhinolaryngol, 2010, 74:1347-1350.
[13] YONETSU K, WATANABE M, NAKAMURA T.Age-related expansion and reduction in aeration of the sphenoid sinus:volume assessment by helical CT scanning[J].AJNR Am J Neuroradiol, 2000, 21:179-182.
[14] 张铁松, 石浩, 林建云, 等.云南地区正常儿童与鼻窦炎患儿鼻窦发育情况比较[J].临床耳鼻咽喉头颈外科杂志, 2010, 24 (11):511-513.
-
计量
- 文章访问数: 247
- PDF下载数: 165
- 施引文献: 0
下载: