上颌窦向牙槽突气化的CT测量及意义

刘锦宇; 刘启桐; 闫占峰; 刘锦峰

doi:10.13201/j.issn.1001-1781.2017.15.005

上颌窦向牙槽突气化的CT测量及意义

- 1. 延安市宝塔区人民医院神经外科(陕西延安, 716000);
- 2. 首都医科大学附属北京朝阳医院放射科;
- 3. 北京中医药大学东直门医院耳鼻咽喉科;
- 4. 首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科

详细信息

通讯作者: 刘锦峰,E-mail:sanming_1978@163.com

中图分类号: R322.31

收稿日期: 2017-05-12

The measurement of pneumatization of maxillary sinus extended into alveolar process basing on the CT and its clinical significance

- 1. Department of Neurosurgery, Baota District People's Hospital of Yan'an Shaanxi Province, Yan'an, 716000, China;
- 2. Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University;
- 3. Department of Otolaryngology, Dongzhimen Hospital, Beijing University of Chinese Medicine;
- 4. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University

More Information

Corresponding author: LIU Jinfeng, E-mail: sanming_1978@163.com

Received Date: 12 May 2017

摘要

摘要: 目的：探讨上颌窦向牙槽突气化的不同分型之间上颌窦实际外科深度的差异。方法：对100例患者的鼻窦CT结果进行观察分析，基于上颌窦底与硬腭的解剖关系，将上颌窦向牙槽突气化程度分型，并对上颌窦外科操作深度进行测量。结果：上颌窦外科实际操作的深度在3种类型的牙槽突气化中存在显著差异，Ⅲ型气化的上颌窦实际深度为（32.27±3.48）mm，深于Ⅱ型气化（28.35±3.45）mm及Ⅰ型气化（20.73±3.09）mm，差异均有统计学意义（均P<0.05）。此外，Ⅱ型气化也显著深于Ⅰ型气化（P<0.05）。结论：上颌窦向牙槽突的气化程度决定了上颌窦中鼻道自然口扩大后上颌窦的实际深度，可以作为内镜上颌窦手术入路选择的参考。
- 上颌窦 /
- 内镜鼻窦手术 /
- 牙槽突 /
- 齿槽隐窝
Abstract: Objective: To investigate the significance of pneumatization of maxillary sinus extended into alveolar process.Method: One hundred outpatients encountered were included in this study. The pneumatizations of maxillary sinus extended into alveolar process were observed and classified. Depth of surgical procedure of maxillary sinus in different type was measured.Result: The actual depth of surgical procedure of maxillary sinus of in different types of the alveolar process pneumatization varied greatly.The actual depth of surgical procedure of maxillary sinus in type Ⅲ pneumatization of alveolar process were(32.27±3.48)mm, which were significantly deeper than type Ⅱ (28.35±3.45) mm and type Ⅰ(20.73±3.09) mm(P<0.05 respectively). Moreover, The actual depth of surgical procedure of maxillary sinus in type Ⅱ was also deeper than type Ⅰ(P<0.05).Conclusion: The pneumatization of maxillary sinus extended into alveolar process can significantly affect the actual depth of the maxillary sinus in the operation of endoscopic middle meatus antrostomy, which may serve as a reference for the choice of endoscopic maxillary sinus approaches.
- maxillary sinus /
- endoscopic sinus surgery /
- alveolar process /
- alveolar crypt

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