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摘要: 目的:探讨中鼻道容积与真菌球性上颌窦炎发生的相关性。方法:测量真菌球性上颌窦炎患者与正常人的双侧骨性中鼻道容积、鼻腔容积及中鼻道所占的容积比,观察鼻腔解剖变异,并对测得的结果进行统计学分析。结果:真菌球性上颌窦炎患者双侧骨性中鼻道容积、鼻腔容积及中鼻道所占的容积比比较,差异无统计学意义(P>0.05)。真菌球性上颌窦炎组患侧与正常组的骨性中鼻道容积、中鼻道所占的容积比比较,差异有统计学意义(P<0.05)。真菌球性上颌窦炎组与正常组的鼻中隔偏曲的发生率分别为24.24%和33.33%,窦口鼻道复合体变异率分别为30.30%和26.67%,鼻腔解剖结构变异的发生率分别为54.55%和60.00%,其差异均无统计学意义(P>0.05)。结论:骨性中鼻道容积增大可能与真菌球性上颌窦炎的发生有关,鼻腔解剖结构变异与真菌球性上颌窦炎的发生无关。Abstract: Objective:Observing the anatomic variation and measuring the bone volume of meatus and nasal cavity by analyzing the expression of paranasal sinus CT. Searching whether these variation and volume data are related to maxillary fungal ball. Method:Measuring the double side bone volume of middle meatus,nasal cavity and the rate of middle meatus volume in the same side of nasal cavity respectively in the normal group, the maxillary fungal ball group. Observing the anatomic variation and statistically evaluating the anatomic variation and volume of nasal cavity and nasal meatus. Result:In the maxillary fungal ball group, the affected side and the contralateral side volume of middle meatus,nasal cavity and the rate of middle meatus volume in the nasal cavity had no statistical difference (P>0.05); Comparing the middle meatus volume and the rate of middle meatus of the maxillary fungus ball group affected side and normal group,there was statistical difference (P<0.05). In the maxillary fungal ball group and the normal group, the morbidity of deviation septum were 24.24% and 33.33%,the morbidity of OMC variation were 30.3% and 26.67% (P<0.05), the morbidity of nasal anatomic variation were 54.55% and 60.00%, there was no statistical difference (P>0.05). Conclusion:Maybe there is a correlation between the enlarged bone middle meatus and the maxillary fungal ball. There is no relationship between the nasal anatomic variation and the maxillary fungal ball.
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Key words:
- maxillary sinusitis /
- nasal cavity /
- dissection /
- middle meatusvolume
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