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额窦引流系统的CT解剖特征及临床意义

CT anatomic features of frontal drainage system

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【作者】 盛华均胡志华周庭永

【Author】 SHENG Hua-jun,HU Zhi-hua,ZHOU Ting-yong(Department of anatomy,Chongqing medical university,Chongqing 400016,China)

【机构】 重庆医科大学解剖教研室重庆医科大学临床学院放射科重庆医科大学解剖教研室 重庆400016重庆400016重庆400016

【摘要】 目的:探讨额窦引流系统的CT解剖特征。方法:采用螺旋CT,对15例正常成人头颅骨骼标本行横断位扫描,并在工作站行冠状面和矢状面重建。结果:螺旋CT三维成像技术能清楚显示钩突的附着部位和类型,其中在30侧钩突中,纸样板12侧,鼻丘气房3侧,中鼻甲7侧,前颅底5侧,分叉3侧;在额隐窝气房26侧中,终末气房15侧,鼻丘气房5侧,前筛气房6侧;额窦内气房28侧,有额气房8侧,眶上气房12侧,额窦中隔气房即M气房8侧。结论:了解额窦引流系统的CT解剖特征,可以为慢性额窦炎术前提供有用的信息。

【Abstract】 Objective:To study the CT anatomic features of frontal drainage system.Methods: 15 cases of normal adults head specimens underwent axial spiral CT scanming with coronal and sagittal 3-dimensional reconstruction.Results: 3-dimensional reconstruction spiral CT could clearly demonstrate the location and type of uncinate process.Of 30 sides of uncinate process,it adhered to the lamina papyracea in 12 sides(40%),agger nasi wall in 3 sides(10%),middle turbinate in 7 sides(23.3%),floor of anterior cranial fossa in 5 sides(16.7%),and uncinate process furcation in 3 sides(10%).Of 26 sides of frontal recess cells,terminal cells accounted for 15 sides(57.7%),agger nasi cells in 5 cases(19.2%),anterior ethmoidal cells in 6 sides(23.1%).Of the 28 cases of intrafrontal cells,frontal cells accounted for 8 sides(28.6%),superobital cells in 12 cases(42.9%),septum of frontal sinus cells(M cells) in 8 cases(28.8%).Conclusion: The demonstration of the anatomic features of frontal sinus on spiral CT can provide useful information for chronic frontal sinusitis.

【关键词】 额窦解剖学体层摄影术X线计算机
【Key words】 Frontal sinusAnatomyTomographyX-ray computed
  • 【文献出处】 现代医药卫生 ,Modern Medicine Health , 编辑部邮箱 ,2005年19期
  • 【分类号】R813
  • 【下载频次】47
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