鼻中隔偏曲与慢性鼻-鼻窦炎发病关系的探讨

摘要

目的:探讨鼻中隔偏曲与慢性鼻-鼻窦炎不伴鼻息肉(CRSsNP)发病的关系.方法:对185例鼻中隔偏曲患者行鼻内镜、鼻窦轴位和/或冠位CT扫描观察,分析鼻中隔偏曲与CRSsNP关系.所有鼻窦CT均采用Lund-Machay CT评分系统评估鼻中隔偏曲与CRSsNP发病的相关性.结果:185例鼻中隔偏曲患者中,并发CRSsNP者129例,发病率为69.73％,其中鼻中隔偏曲宽侧并发CRSsNP的有87例,发病率较高,为67.44％;鼻中隔偏曲各组中高位偏曲(D、F组)并发CRSsNP有77例,发病率最高,为59.69％.结论:鼻中隔偏曲与CRSsNP的发生具有相关性,尤以高位偏曲组更为显著.%Objective:To explore the relationship between nasal septum deviation and the pathogenesis of chronic rhinosinusitis without nasal polyps (CRSsNP).Methods:By nasal endoscopy and CT scancing the axial or coronal position of nasal sinus,185 cases of patients with the deviation of nasal septum were analysed to obtain the relationship between nasal septum and CRSsNP.All paranasal sinus CT were evaluated by using the Lund-Machay CT scoring system.Results:There were 129 patients with CRSsNP in 185 cases of patients with nasal septum,and the incidence rate was 69.73％.Furthermore,there were 87 cases with the wide side of nasal septum deviation complicated with CRSsNP,and the incidence rate was higher,reaching 67.44％.In the high deviation groups (D,F group) among the groups of nasal septum,there were 77 cases of patients with CRSsNP,and the incidence rate was the highest,reaching 59.69％.Conclusion:There is a correlation between the deviation of nasal septum and the CRSsNP,especially in the high deviation group.