CAJ | 학술논문

目的：探讨多层螺旋CT（MSCT）三维重建技术对窦口-鼻道复合体解剖结构及变异相关疾病的临床诊断价值。方法回顾性分析200例慢性鼻窦炎患者窦口-鼻道复合体的薄层重组CT图像，对窦口-鼻道复合体结构正常解剖结构及变异进行分析总结。结果200例慢性副鼻窦炎中，鼻中隔偏曲占62.0%；筛泡过度气化和中鼻甲过度气化无显著差异，分别为37.0%和36.5%；Haller 气房占33.0%；钩突偏移占22.0%；中鼻甲反向弯曲13.0%；鼻丘过度气化12.5%。结论多层螺旋CT三维重建图像能清晰显示窦口-鼻道复合体的解剖变异、慢性副鼻窦炎范围，对指导治疗具有重要临床意义。
목적：탐토다층라선CT（MSCT）삼유중건기술대두구-비도복합체해부결구급변이상관질병적림상진단개치。방법회고성분석200례만성비두염환자두구-비도복합체적박층중조CT도상，대두구-비도복합체결구정상해부결구급변이진행분석총결。결과200례만성부비두염중，비중격편곡점62.0%；사포과도기화화중비갑과도기화무현저차이，분별위37.0%화36.5%；Haller 기방점33.0%；구돌편이점22.0%；중비갑반향만곡13.0%；비구과도기화12.5%。결론다층라선CT삼유중건도상능청석현시두구-비도복합체적해부변이、만성부비두염범위，대지도치료구유중요림상의의。
Objective To investigate the value of multislice spiral CT (MSCT) with three-dimensional reconstruction technique in the diagnosis of anatomical structure and variation related disease of ostiomeatal complex. Methods A to-tal of 200 cases of chronic sinusitis patients with normal or variant ostiomeatal complex were retrospectively analyzed with thin layer reconstruction CT images. Results Among these 200 cases, deviation of nasal septum was the majority, accounting for 62.0%. Excessive gasification of ethmoid bulla and middle turbinate gasification were 37.0% and 36.5%respectively . No significant difference was observed between them . The haller cells and uncinate deviation bend accounted for 33.0% and 22.0% separately. Curved middle turbinate accounted for 13.0%. The agger nasi was the least, accounting for 12.5%. Conclusion Three-dimensional reconstruction of MSCT can show the anatomical variations of sinus-nasal as well as the extent of chronic sinusitis clearly, which has important clinical significance on treatment.