老年鼻中隔偏曲和窦口鼻道复合体解剖变异与慢性鼻窦炎关系的研究

李进; 王能军

doi:10.7619/jcmp.201401043

老年鼻中隔偏曲和窦口鼻道复合体解剖变异与慢性鼻窦炎关系的研究

李进¹,
王能军²

1.
陕西省铜川市人民医院耳鼻咽喉科,陕西铜川,727000;
2.
陕西省铜川市人民医院急诊科,陕西铜川,727000

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中图分类号: R765.4
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- 发布日期: 2014-07-09

Correlation between chronic sinusitis and deflection of nasal septum and anatomical variation of ostiomeatal complex in elderly patients

LI Jin¹,
WANG Nengjun²

摘要

摘要: 目的探讨老年鼻中隔偏曲和窦口鼻道复合体(OMC)解剖变异与慢性鼻窦炎的关系.方法分析2005年1月-2013年1月在本院接受治疗的60例老年慢性鼻窦炎患者的临床资料并设为观察组;另选取非慢性鼻窦炎患者60例设为对照组.结果 25例额窦鼻窦炎患者中,高位偏曲显著高于低位偏曲(x2=4.000,P=0.046);观察组中鼻甲气化发生率显著高于对照组(x2=15.810,P＜0.001);观察组钩突偏曲发生率显著高于对照组(x2=5.657,P=0.017);观察组钩突肥大发生率显著高于对照组(x2=4.630,P=0.031);观察组鼻丘气房发生率显著高于对照组(x2=5.192,P=0.023).Logistic回归分析显示,高位鼻中隔偏曲、中鼻甲气化、钩突偏曲、钩突肥大及鼻丘气房是导致鼻部解剖变异者发生慢性鼻窦炎的独立风险因素.结论鼻中隔偏曲及OMC解剖变异在慢性鼻窦炎患者中有一定的发生率,但并非所有解剖变异患者均会致病.高位鼻中隔偏曲、中鼻甲气化、钩突偏曲、钩突肥大及鼻丘气房是导致鼻部解剖变异者发生慢性鼻窦炎的独立风险因素,可针对性地进行干预.
- 慢性鼻窦炎 /
- 老年 /
- 解剖变异 /
- 鼻中隔偏曲 /
- 窦口鼻道复合体
- chronic sinusitis /
- elderly /
- anatomical variation /
- deflection of nasal septum /
- ostiomeatal complex

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参考文献(10)

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老年鼻中隔偏曲和窦口鼻道复合体解剖变异与慢性鼻窦炎关系的研究

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Correlation between chronic sinusitis and deflection of nasal septum and anatomical variation of ostiomeatal complex in elderly patients

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