【摘要】 目的 探讨不同部位鼻中隔偏曲伴窦口鼻道复合体(OMC)解剖变异的差异。方法 对103例不同部位鼻中隔偏曲病人作鼻内镜检查和鼻腔、鼻窦冠状位、轴位CT扫描,比较OMC解剖变异的差异。结果 单纯高位偏曲组甲泡、Haller气房及钩突偏曲的发生率分别为50％、56.3％和28.1％,显著高于低位嵴组及前部偏曲组(P<0.05);甲泡在单纯高位偏曲对侧发生率为62.5％,同侧为37.5％,其同侧与其它各组间无明显差异,其对侧则差异显著(P<0.05);前部偏曲筛泡过度气化发生率为8.3％,明显低于其它各组(P<0.05);中鼻甲反常曲线、鼻丘气房、钩突气化等的发生率在各组之间没有明显差别。结论 不同部位的鼻中隔偏曲伴随的某些OMC解剖变异存在较大的差异。更多还原

【Abstract】 Objective To explore the anatomic variations of the ostiomeatal complex (OMC) accompanied with different nasal septal deviations. Methods Nasal endoscopic examinations and coronal and axial plain CT scans of the paranasal sinuses of 103 patients with nasal septal deviations were analyzed. Results The rate of the concha bullosa, Haller cells and uncinate deviation in the pure upper septal deviations group (50% , 56.3% and 28.1 % respectively) was significantly higher than those of lower and frontal septal deviation group ( P < 0.05). In pure upper septal deviation group, the rate of concha bullosa on the side opposite to the deviated septum was 62.5% , differing significantly from that in other groups. On the side of deviated septum, the rate of prominent ethmoid bulla was very low (8.3%). There were not differences between groups in the rate of paradoxically curved middle turbinate, agger nasi and uncinate bulla. Conclusion There are some anatomic variations in OMC among patients with diffeerent deviated septum.更多还原