中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
5期
20-21,22
,共3页
鼻中隔偏曲%鼻窦炎%发病率
鼻中隔偏麯%鼻竇炎%髮病率
비중격편곡%비두염%발병솔
Deviation of nasal septum%Sinusitis%Morbidity
目的：探讨鼻中隔偏曲对双侧鼻腔鼻窦炎发病率的影响。方法：回顾性分析2011年1月-2012年12月笔者所在医院收治的200例鼻中隔偏曲合并慢性鼻窦炎患者的临床资料。结果：(1)鼻中隔偏曲窄侧鼻腔与宽侧鼻腔鼻窦炎的发病例数分别为167例(83.5％)、156例(78.0%)；平均秩次分别为166.066、128.247；危险度RR值分别为1.5、0.8，差异有统计学意义(P<0.05)；(2)男女鼻窦炎发病率和鼻中隔向左右侧偏曲发生率比较，差异无统计学意义(P>0.05)；(3)窄侧鼻腔与宽侧鼻腔解剖结构变异主要包括：钩突肥大窄侧6.5%(13/200)、宽侧26.5%(53/200)，中鼻甲肥大窄侧7.5%(15/200)、宽侧38.5%(77/200)，筛泡肥大窄侧26.5%(53/200)、宽侧39.5%(79/200)，中鼻甲反常曲线窄侧4.5%(9/200)、宽侧14.5%(29/200)，下鼻甲肥大窄侧50.5%(101/200)、宽侧62.5%(125/200)，鼻中隔高位黏膜肥厚窄侧0.5%(1/200)、宽侧2.5%(5/200)。结论：鼻中隔偏曲患者窄侧鼻腔鼻窦炎发病率高于宽侧，宽侧鼻腔发生代偿使鼻窦炎发病率升高，下鼻甲肥大与鼻窦炎的发生密切相关，单纯性鼻中隔矫正手术效果不理想。
目的：探討鼻中隔偏麯對雙側鼻腔鼻竇炎髮病率的影響。方法：迴顧性分析2011年1月-2012年12月筆者所在醫院收治的200例鼻中隔偏麯閤併慢性鼻竇炎患者的臨床資料。結果：(1)鼻中隔偏麯窄側鼻腔與寬側鼻腔鼻竇炎的髮病例數分彆為167例(83.5％)、156例(78.0%)；平均秩次分彆為166.066、128.247；危險度RR值分彆為1.5、0.8，差異有統計學意義(P<0.05)；(2)男女鼻竇炎髮病率和鼻中隔嚮左右側偏麯髮生率比較，差異無統計學意義(P>0.05)；(3)窄側鼻腔與寬側鼻腔解剖結構變異主要包括：鉤突肥大窄側6.5%(13/200)、寬側26.5%(53/200)，中鼻甲肥大窄側7.5%(15/200)、寬側38.5%(77/200)，篩泡肥大窄側26.5%(53/200)、寬側39.5%(79/200)，中鼻甲反常麯線窄側4.5%(9/200)、寬側14.5%(29/200)，下鼻甲肥大窄側50.5%(101/200)、寬側62.5%(125/200)，鼻中隔高位黏膜肥厚窄側0.5%(1/200)、寬側2.5%(5/200)。結論：鼻中隔偏麯患者窄側鼻腔鼻竇炎髮病率高于寬側，寬側鼻腔髮生代償使鼻竇炎髮病率升高，下鼻甲肥大與鼻竇炎的髮生密切相關，單純性鼻中隔矯正手術效果不理想。
목적：탐토비중격편곡대쌍측비강비두염발병솔적영향。방법：회고성분석2011년1월-2012년12월필자소재의원수치적200례비중격편곡합병만성비두염환자적림상자료。결과：(1)비중격편곡착측비강여관측비강비두염적발병례수분별위167례(83.5％)、156례(78.0%)；평균질차분별위166.066、128.247；위험도RR치분별위1.5、0.8，차이유통계학의의(P<0.05)；(2)남녀비두염발병솔화비중격향좌우측편곡발생솔비교，차이무통계학의의(P>0.05)；(3)착측비강여관측비강해부결구변이주요포괄：구돌비대착측6.5%(13/200)、관측26.5%(53/200)，중비갑비대착측7.5%(15/200)、관측38.5%(77/200)，사포비대착측26.5%(53/200)、관측39.5%(79/200)，중비갑반상곡선착측4.5%(9/200)、관측14.5%(29/200)，하비갑비대착측50.5%(101/200)、관측62.5%(125/200)，비중격고위점막비후착측0.5%(1/200)、관측2.5%(5/200)。결론：비중격편곡환자착측비강비두염발병솔고우관측，관측비강발생대상사비두염발병솔승고，하비갑비대여비두염적발생밀절상관，단순성비중격교정수술효과불이상。
Objective:Investigate the influence on bilateral nasal sinusitis incidence affected by nasal septum deviation.Method:Retrospective analysis in January 2011 to December 2012,the author’s hospital treated 200 cases of nasal septum deviation combined the clinical data of patients with chronic sinusitis. Result:(1) with nasal septum deviation narrow side wide lateral nasal sinusitis were respectively 167 cases (83.5%),156 cases (78.0%).The average rank were 166.066,128.247;Risk of RR values were 1.5,0.8,the difference was statistically significant (P<0.05);(2) the incidence of sinusitis and nasal septum between men and women left the right side of the deflection of the incidence of comparative differences had no statistical significance (P>0.05);(3) the narrow side nasal cavity with wide lateral nasal anatomy variation mainly includes:hook hypertrophy narrow side 6.5%(13/200),26.5%(53/200) by the side of wide,middle turbinate hypertrophy narrow side was 7.5%(15/200),38.5%(77/200) by the side of wide,screen bubble hypertrophy narrow side was 26.5%(53/200),39.5%(79/200) wide side,abnormal middle turbinate curve narrow side was 4.5%(9/200),14.5%(29/200) wide side,inferior turbinate hypertrophy narrow side was 50.5%(101/200), 62.5%(125/200) wide side,high septum mucosa hypertrophy narrow side 0.5%(1/200),2.5%(5/200) wide side.Conclusion:Patients with nasal septum deviation the narrow lateral nasal sinusitis incidence was higher than wide side;the compensatory make a high incidence of nasal sinusitis of wide lateral;the inferior turbinate hypertrophy closely related to the sinusitis;the effect of simple nasal septum corrective surgery is not ideal.
