由于不同的牙感染引起的上鼻炎的特征和危险因素:基于鼻腔CT成像的回顾性研究
Yue Zhao1, Shengyuan Huang1, Min Xu1
1Department of Stomatology, Beijing Tongren Hospital, Capital Medical University, 100730, Beijing, China.
BMC oral health
|February 26, 2025
概括
牙性大鼻炎是一种导致鼻感染的牙科问题,更严重,占病例的26.96%. 关键的风险因素包括病变接近鼻底部和病变类型,指导更好的治疗.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 牙科 牙科是指牙科的专业.
- 放射学 放射学是一门学科.
背景情况:
- 牙性大鼻炎 (OMS) 是由牙感染引起的,但其患病率和风险因素尚不清楚.
- 人们往往忽视了OMS,这使得多学科的治疗决策变得复杂.
- 这项研究旨在确定OMS的牙科风险因素,并改进治疗策略.
研究的目的:
- 分析影响牙风险因素的牙性大鼻炎 (OMS) 病原性.
- 为WHO优化牙科决策.
- 为多学科的OMS治疗提供基于证据的选择.
主要方法:
- 分析了968名鼻炎患者的计算机断层扫描 (CT) 扫描.
- 261名患者被诊断出患有OMS.
- 鼻和骨髓综合体隆德 - 麦凯评分评估了感染严重程度;牙病变和风险因素被放射性评估.
主要成果:
- 大鼻炎患者的OMS患病率为26.96%;单侧鼻炎患者的79.63%同时患有牙病变.
- 世卫组织的Lund-Mackay分数明显高于非世卫组织.
- 损伤的近距离 (<3.32毫米到鼻底部) 和类型 (周围根源) 显著增加了严重程度得分.
结论:
- 世卫组织比非世卫组织更严重,占病例的26.96%.
- 与鼻底部的距离和病变类型是OMS严重程度的关键风险因素.
- 这些发现为OMS的临床诊断和牙科治疗提供了新的参考.
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