CAJ | 학술논문

[目的]探讨鼻中隔偏曲与急性鼻窦炎的相关性，以期为临床预防、病因、诊断和治疗提供相关理论依据。[方法]选择2010年1月至2012年1月就诊于杭州市第一人民医院的鼻中隔偏曲患者，对同1例患者的两侧鼻窦做配对比较，记录其鼻中隔偏曲两侧鼻窦（额窦、上颌窦、前组筛窦、后组筛窦、蝶窦）炎的发病情况，并对严重度进行量化分析，评价易感性及严重程度。[结果]鼻中隔偏曲患者两侧鼻腔、急性鼻窦炎的发病率及鼻窦炎得分差异均无统计学意义(P＞0.05)。[结论]鼻中隔偏曲患者两侧鼻腔，急性鼻窦炎的易感性、严重程度相同；单纯矫正偏曲的鼻中隔并不能有效预防和治疗急性鼻窦炎；对鼻中隔偏曲的患者，需同期评估和处理鼻中隔偏曲引起的代偿性改变。
[목적]탐토비중격편곡여급성비두염적상관성，이기위림상예방、병인、진단화치료제공상관이론의거。[방법]선택2010년1월지2012년1월취진우항주시제일인민의원적비중격편곡환자，대동1례환자적량측비두주배대비교，기록기비중격편곡량측비두（액두、상합두、전조사두、후조사두、접두）염적발병정황，병대엄중도진행양화분석，평개역감성급엄중정도。[결과]비중격편곡환자량측비강、급성비두염적발병솔급비두염득분차이균무통계학의의(P＞0.05)。[결론]비중격편곡환자량측비강，급성비두염적역감성、엄중정도상동；단순교정편곡적비중격병불능유효예방화치료급성비두염；대비중격편곡적환자，수동기평고화처리비중격편곡인기적대상성개변。
[Objective] To discuss the relativity between the deviation of nasal spetum and acute sinusitis ’offering relative theoretic base for clinical perven-tion, causa morbi, diagnosis and treatment.[Method] Select 1 case of deviation of nasal spetum from Hangzhou City First People Hospital, make pair com-parison 2 sides of the sinus, record the attack of 2 flanks of sinus with deviation of septum(frontal sinus, maxil ary sinus, frontal and back ethmoidal cellules, sphenoid sinus) for the sinusitis, and make quantitative analysis to the severity, evalulate susceptivity and severity. [Result] There ’s no difference of statistical meaning on the occurrence rate and sinusitis scores for the 2 flanks of the patient.[Conclusion]For such patient of acute sinusitis, the susceptivity and severi-ty are the same for 2 flanks of nasal cavity; the pure correction of the deviation can ’t effectively prevent or treat acute sinusitis; for such patient, we shal correspondingly evaluate and treat the compensatory change caused by deviated spetum.