CAJ | 학술논문

目的：了解飞行人员鼻部解剖变异及慢性鼻窦炎（chronic rhinosinusitis，CRS）患病情况，为鼻科招飞、疾病诊治和医学鉴定提供依据。方法分析研究82例飞行人员的鼻部宝石CT扫描资料，对解剖变异和CRS情况进行评估。结果82例飞行人员鼻部变异总出现率达100%，常见变异类型包括鼻中隔偏曲（70.7%）、钩突变异（偏曲、缺如或肥大）（67.1%）、额气房（63.4%）、中鼻甲变异（肥大、气化或反常曲线）（54.9%）和下鼻甲变异（肥大或骨质增生）（42.7%）等。CRS的检出率为42.7%。窦口鼻道复合体（ostiomeatal complex，OMC）的解剖变异的CRS发病率比无变异组高(P＜0.05)。结论飞行人员中鼻部解剖变异常见，尤以OMC处最为重要，与CRS的高发病率密切相关。鼻部CT检查有助于更及时准确地发现解剖变异和诊断鼻窦炎，应重视其在招飞、诊治和医学鉴定中的作用。
목적：료해비행인원비부해부변이급만성비두염（chronic rhinosinusitis，CRS）환병정황，위비과초비、질병진치화의학감정제공의거。방법분석연구82례비행인원적비부보석CT소묘자료，대해부변이화CRS정황진행평고。결과82례비행인원비부변이총출현솔체100%，상견변이류형포괄비중격편곡（70.7%）、구돌변이（편곡、결여혹비대）（67.1%）、액기방（63.4%）、중비갑변이（비대、기화혹반상곡선）（54.9%）화하비갑변이（비대혹골질증생）（42.7%）등。CRS적검출솔위42.7%。두구비도복합체（ostiomeatal complex，OMC）적해부변이적CRS발병솔비무변이조고(P＜0.05)。결론비행인원중비부해부변이상견，우이OMC처최위중요，여CRS적고발병솔밀절상관。비부CT검사유조우경급시준학지발현해부변이화진단비두염，응중시기재초비、진치화의학감정중적작용。
ObjectiveTo explore prevalence of nasal anatomy abnormality and the chronic rhinosinusitis(CRS), and to provide the evidence for aircrew recruitment in nasal cavity, diagnosis and treatment of disease and medical evaluation. MethodsThe nasal CT scanning graph of the 82 aricrews were anaylsed and evaluated for the anatomy abnormality and the chronic rhinosinusitis.ResultsFor 82 aricrews, general incidence of the nasal anatomy abnormality was 100%. The types of common variants were deviation of nasal septum (70.7%), uncinate process (67.1%), frontal cells (63.4%), middle turbinate (54.9%) and inferior turbinate (42.7%). The prevalence rate of CRS was 42.7%. The prevalence of CRS and the abnormality of OMC was statistically significant (P<0.05).ConclusionNasal anatomy abnormality was common among aircrew, especially at OMC and closely related to the high incidence of CRS. Nasal HRCT can well display the nasal anatomy abnormality and diagnosis CRS,so the role of CT scanning should be attached great importance to.