CAJ | 학술논문

目的：探讨多层螺旋 CT 后处理技术在显示窦口‐鼻道复合体解剖变异及其相关鼻窦炎的临床应用价值。方法收集96例慢性鼻窦炎患者的影像及临床资料，其中鼻‐鼻窦内窥镜手术20例。通过多层螺旋 CT 多平面重组，观察窦口‐鼻道复合体的解剖变异、鼻窦炎症，以及其在鼻‐鼻窦内窥镜手术中的临床作用。结果96例慢性鼻窦炎患者中，窦口‐鼻道复合体解剖变异82例（85．4％），其中泡状鼻甲29例（30．21％），反常中鼻甲9例（9．38％）；钩突肥厚13例（13.54％），内侧偏移11例（11．46％），外侧偏移4例（4．17％），气化3例（3．13％）；Haller 气房8例（8．33％）；鼻丘气房9例（9．38％）和鼻中隔偏曲24例（25％）。鼻窦炎症显示率为100％，病变分布：前组筛窦84例，后组筛窦36例，上颌窦开口处67例，上颌窦63例，额隐窝19例，额窦14例和蝶窦8例。20例鼻‐鼻窦内窥镜手术所见与 CT 显示一致。结论多层螺旋 CT 后处理技术可清晰显示窦口‐鼻道复合体解剖变异以及其所致的鼻窦炎症，对鼻‐鼻窦内窥镜手术具有重要的临床指导价值。
목적：탐토다층라선 CT 후처리기술재현시두구‐비도복합체해부변이급기상관비두염적림상응용개치。방법수집96례만성비두염환자적영상급림상자료，기중비‐비두내규경수술20례。통과다층라선 CT 다평면중조，관찰두구‐비도복합체적해부변이、비두염증，이급기재비‐비두내규경수술중적림상작용。결과96례만성비두염환자중，두구‐비도복합체해부변이82례（85．4％），기중포상비갑29례（30．21％），반상중비갑9례（9．38％）；구돌비후13례（13.54％），내측편이11례（11．46％），외측편이4례（4．17％），기화3례（3．13％）；Haller 기방8례（8．33％）；비구기방9례（9．38％）화비중격편곡24례（25％）。비두염증현시솔위100％，병변분포：전조사두84례，후조사두36례，상합두개구처67례，상합두63례，액은와19례，액두14례화접두8례。20례비‐비두내규경수술소견여 CT 현시일치。결론다층라선 CT 후처리기술가청석현시두구‐비도복합체해부변이이급기소치적비두염증，대비‐비두내규경수술구유중요적림상지도개치。
Objective To discuss the clinical value of multi‐slice piral CT (MSCT ) post‐processing technique in identif‐ying ostiomeatal complex anatomical variations and the relevant sinusitis .Methods A total of 96 patients with chronic si‐nusitis were enrolleded in this study ,including 20 cases with functional endoscopic sinus surgery .The ostiomeatal complex anatomical variations was observed by using multi‐slice spiral CT with multi planar reconstruction ,the clinical values of the technique in sinusitis diagnosis and treatment ,and functional endoscopic sinus surgery were analyzed .Results In this study ,82 cases (85 .4% ) with the ostiomeatal complex anatomical variations were observed ,including 29 cases (30 .21% ) of concha bullosa ,9 cases (9 .38% ) of abnormal middle turbinate ;13 cases (13 .54% ) of hypertrophic uncinate process , 11 cases (11 .46% ) of the medial offset ,4 cases (4 .17% ) of the lateral offset ,3 cases (3 .13% ) of the gasification ;8 ca‐ses (8 .33% ) of Haller cell ;9 cases (9 .38% ) of agger nasi cell and 24 cases (25% ) of deviation of nasal septum .The dis‐play rate of sinusitis was 100% .The distribution of lesions were 84 cases of anterior ethmoid sinus ,36 cases of posterior ethmoid sinus ,67 cases of the opening of maxillary sinus ,63 cases of maxillary sinus ,19 cases of frontal recess ,14 cases of frontal sinuses and 8 cases of sphenoid sinus .The intraoperative findings of the 20 cases were consistent with CT shows .Conclusion Multi‐slice spiral CT post‐processing technique could clearly display the many anatomical variations in rhino sinus compound and the relevant sinusitis ,and also has great importance in the functional endoscopic sinus surgery applying .