超鼻解剖变异的临床和放射学意义:基于CT的回顾性CT研究
Nandha Kumar Subbiah1, Satvinder S Bakshi2, Sangeetha Arumugam1
1Department of Anatomy, All India Institute of Medical Sciences, Mangalagiri, Mangalagiri, IND.
Cureus
|May 19, 2025
概括
鼻腔隔膜偏差等鼻鼻腔的解剖学变异很常见,并且与鼻炎有显著的联系. 术前CT扫描对于准确的诊断和功能性内镜外科手术中改善的外科结果至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 副鼻腔的解剖学变化会影响鼻腔排水和空气流.
- 这些变异被认为是导致慢性鼻炎发展的因素.
研究的目的:
- 为了确定鼻鼻的解剖学变异的流行程度.
- 通过CT发现,研究这些变异与鼻炎的发生之间的关联.
主要方法:
- 从75名患者 (年龄25-70岁) 的CT扫描进行了回顾性分析.
- 解剖学变异的识别和记录:鼻腔隔膜偏差 (NSD),孔卡布洛萨,阿格纳西细胞,哈勒细胞和奥诺迪细胞.
- 统计分析 (奇二测试,费舍尔精确测试) 来评估关联 (p<0.05显著).
主要成果:
- 鼻隔膜偏差 (NSD) 是最常见的变异 (66.6%).
- 大鼻炎是最常见的鼻炎类型 (80%).
- 在特定变异 (NSD,concha bullosa,agger nasi细胞,Haller细胞,Onodi细胞) 和鼻炎类型之间发现了显著的关联.
结论:
- 副鼻腔解剖变异显示与鼻炎有显著的相关性.
- 在功能性内镜外科手术 (FESS) 中,手术前CT评估对于指导管理和改善手术结果至关重要.
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