CAJ | 학술논문

目的：探讨MSCT多平面重建(MPR)对窦口鼻道复合体(OMC)解剖变异的临床应用价值，评价其在临床手术治疗中的重要性。方法回顾性分析经MSCT扫描的63例解剖变异伴副鼻窦炎症患者的影像资料，先行轴位薄层容积扫描，并将原始数据在工作站上行多平面重建，重点观察窦口-鼻道复合体解剖变异的影像特点及其与鼻窦炎症发生的关系。结果(1)解剖变异：钩突偏移17例，其中向内偏移9例，向外偏移8例；中鼻甲过度充气20例；中鼻甲反向7例；筛泡过度气化7例；Hallor气房6例。(2)鼻旁窦炎症表现：上颌窦炎26例(左侧10例，右侧11例，双侧5例)；筛窦炎19例(左7例，右6例，双侧6例)；上颌窦并筛窦炎15例(左5例，右6例，双侧4例)；右侧鼻旁窦炎合并左侧上颌窦炎1例，左侧鼻旁窦炎合并右侧筛窦炎2例。结论MSCT多平面重组(MPR)着重OMC细节的显示，构建鼻道引流通道，提供治疗方案的影像学信息。
목적：탐토MSCT다평면중건(MPR)대두구비도복합체(OMC)해부변이적림상응용개치，평개기재림상수술치료중적중요성。방법회고성분석경MSCT소묘적63예해부변이반부비두염증환자적영상자료，선행축위박층용적소묘，병장원시수거재공작참상행다평면중건，중점관찰두구-비도복합체해부변이적영상특점급기여비두염증발생적관계。결과(1)해부변이：구돌편이17례，기중향내편이9례，향외편이8례；중비갑과도충기20례；중비갑반향7례；사포과도기화7례；Hallor기방6례。(2)비방두염증표현：상합두염26례(좌측10례，우측11례，쌍측5례)；사두염19례(좌7례，우6례，쌍측6례)；상합두병사두염15례(좌5례，우6례，쌍측4례)；우측비방두염합병좌측상합두염1례，좌측비방두염합병우측사두염2례。결론MSCT다평면중조(MPR)착중OMC세절적현시，구건비도인류통도，제공치료방안적영상학신식。
Objective To discuss the clinical value of MSCT multi-planar reconstruction (MPR) for ostiomeatal complex(OMC) anatomical variations and to evaluate its significance in clinical surgery. Methods The MSCT findings of 63 cases with paranasal sinus inflammation and anatomical variations were retrospectively analyzed. The original data of thin layer axial volume scanning were reconstructed with multi-planar in the workstation. The image characteristic of sinus-nasal passages anatomical variations and its relationship with sinus inflammation were observed. Results (1) Anatomical variations:17 cases of uncinate offset, of which there are 9 cases of inward migration and 8 cases of outward migration; 20 cases of hyperinflation in the turbinate; 7 cases of middle turbinate reverse; 11 cases of ethmoid bulla excessive gasification; 8 cases of Hallor gas room. (2) paranasal sinus inflammation: 26 cases of maxillary sinusitis (10 cases left side, 11 cases right side and 5 cases double sides); 19 cases of ethmoiditis (7 cases left and 6 cases right, 6 cases double sides); 15 cases of maxillary and ethmoid sinusitis (5 cases left, 6 cases right, 4 cases double sides); 1 cases suffering from right paranasal sinus inflammation and the left maxillary sinusitis; 2 cases suffering from left paranasal sinus inflammation and the right maxillary sinusitis. Conclusion MSCT multi-planar reconstruction (MPR) focuses on the display of the OMC details to construct the nasal drainage channel and to provide imaging information on treatment options.