筛泡形态学及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的相关性

龙雨; 朱正茹; 雷齐鸣; 张小兵

doi:10.16016/j.1000-5404.202010131

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筛泡形态学及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的相关性

临床医学 | 更新时间：2026-01-09

- 筛泡形态学及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的相关性
- Correlation of ethmoid bulla morphology and bone changes around anterior ethmoid sinus ostium with severity of chronic ethmoid sinusitis
- 第三军医大学学报 2021年43卷第8期页码：741-746
- 作者机构：
  
  1.730000 兰州, 兰州大学: 第一临床医学院
  2.730000 兰州, 兰州大学: 第一医院耳鼻喉头颈外科
- 作者简介：
  
  [张小兵，E-mail: 3127093868@qq.com ZHANG Xiaobing, E-mail: 3127093868@qq.com
- 基金信息：
- DOI：10.16016/j.1000-5404.202010131
  中图分类号： R322.31;R765.41;R814.42
- 收稿：2020-10-21，
  
  修回：2020-12-21，
  
  纸质出版：2021-04-30
- 稿件说明：
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龙雨, 朱正茹, 雷齐鸣, 等. 筛泡形态学及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的相关性[J]. 第三军医大学学报, 2021,43(8):741-746.

Yu LONG, Zhengru ZHU, Qiming LEI, et al. Correlation of ethmoid bulla morphology and bone changes around anterior ethmoid sinus ostium with severity of chronic ethmoid sinusitis[J]. Journal of Third Military Medical University, 2021, 43(8): 741-746.
龙雨, 朱正茹, 雷齐鸣, 等. 筛泡形态学及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的相关性[J]. 第三军医大学学报, 2021,43(8):741-746. DOI： 10.16016/j.1000-5404.202010131.

Yu LONG, Zhengru ZHU, Qiming LEI, et al. Correlation of ethmoid bulla morphology and bone changes around anterior ethmoid sinus ostium with severity of chronic ethmoid sinusitis[J]. Journal of Third Military Medical University, 2021, 43(8): 741-746. DOI： 10.16016/j.1000-5404.202010131.

摘要

目的

探讨筛泡形态学相关参数及前组筛窦开口周围骨质改变的CT评估与慢性筛窦炎病情严重程度的相关性。

方法

回顾性分析2017年1月至2020年8月就诊于我院行鼻部高分辨率CT的32例正常对照及48例慢性筛窦炎组患者资料，利用鼻部CT中前组筛窦软组织厚度将研究对象分为0分、1分、2分及3分组，应用鼻部高分辨率CT数据进行筛窦及筛泡三维重建，比较两组筛泡形态学相关参数及前组筛窦开口周围骨质CT值，分析筛泡形态学相关参数及前组筛窦开口周围骨质改变与慢性筛窦炎病情严重程度的关系。

结果

① 筛泡形态学相关参数：筛泡体积、表面积、上下径、左右径、前后径慢性筛窦炎组均明显大于正常对照组，差异有统计学意义(

0.01)，且慢性筛窦炎2分组及3分组的筛泡相关参数均高于1分组(

0.05)，筛漏斗直径、前组筛窦流出道截面积慢性筛窦炎组均明显大于正常对照组，差异有统计学意义(

0.01)，个体中筛泡体积与前组筛窦流出道截面积呈负相关(

=-0.325，

0.05)。②前组筛窦开口周围骨质CT值在慢性筛窦炎组均明显大于正常对照组，差异有统计学意义(

0.01)，且慢性筛窦炎2分组及3分组的骨质CT值均高于1分组(

0.05)。

结论

筛泡的形态学相关参数及前组筛窦开口周围骨质CT值增加可导致筛漏斗狭窄，影响前组筛窦的通畅引流，且与慢性筛窦炎的病情严重程度呈现正性相关。

Abstract

Objective

To investigate the correlation of the morphological parameters of ethmoid bulla and bone changes around anterior ethmoid sinus ostium by CT scanning with the severity of chronic ethmoid sinusitis.

Methods

Clinical data of 48 patients with chronic ethmoid sinusitis undergoing high resolution CT of the nose in our hospital from January 2017 to August 2020 were collected and retrospectively analyzed. The CT data of 32 normal individuals were also collected as control. According to the soft tissue thickness of ethmoid sinus (0

2~3

≥4 mm)

the subjects were divided into subgroups 0

2 and 3. The CT data of normal control group and chronic ethmoid sinusitis group were used for three-dimensional reconstruction of ethmoid sinus and ethmoid bulla. The morphological parameters of ethmoid bulla and the CT value of bone around ethmoid sinus were compared between the 2 groups to analyze the correlation of the parameters with severity of sinusitis.

Results

① Ethmoidal morphological parameters: ethmoidal volume

surface area

anteroposterior diameter

mediolateral dimension and vertical diameter were significantly greater in the chronic ethmoid sinusitis group than the normal control group (

0.01)

and the bubble related parameters were obviously higher in subgroups 2 and 3 than the subgroup 1 in chronic ethmoid sinusitis patients (

0.05). Ethmoidal infundibulum diameter and anterior ethmoidal outflow tract cross-sectional area were notably larger in the chronic ethmoid sinusitis group than the normal control group (

0.01). The volume of ethmoid bulla in individuals was negatively correlated with the anterior ethmoidal outflow tract cross-sectional area (

=-0.325

0.05). ② The CT value of the bone around the ethmoid sinus opening was significantly higher in the chronic ethmoid sinusitis group than the normal control group (

0.01). The CT value of the bone around the ethmoid sinus opening was significantly higher in subgroups 2 and 3 than the subgroup 1 in chronic ethmoid sinusitis patients (

0.05).

Conclusion

Morphological parameters related to ethmoid bubble and CT value of bone around ethmoid sinus opening in the anterior ethmoid can lead to ethmoid funnel stenosis and affect the unobstructed drainage of ethmoid sinus

and are positively correlated with the severity of chronic ethmoid sinusitis.

关键词

Keywords

references

PARK C S, PARK Y S, PARK Y J, et al . The inhibitory effects of macrolide antibiotics on bone remodeling in chronic rhinosinusitis[J ] . Otolaryngol Head Neck Surg, 2007, 137(2): 274-279. DOI: 10.1016/j.otohns.2007.02.010.

刘湘燕, 韩德民, 周兵. 鼻鼻窦解剖变异与慢性鼻窦炎的关系[J]. 中华耳鼻咽喉科杂志, 1998, 33(3): 149-152.

LIU X Y, HAN D M, ZHOU B. Relationship between anatomic variations of nasal sinus and chronic sinusitis[J]. Chin J Otorhinolaryngol, 1998, 33(3): 149-152.

成强, 徐林根, 姜辉, 等. 窦口鼻道复合体周围骨质改变的CT评估在老年慢性鼻-鼻窦炎中的意义[J]. 老年医学与保健, 2018, 24(6): 639-642. DOI: 10.3969/j.issn.1008-8296.2018.06.022.

CHENG Q, XU L G, JIANG H, et al . CT evaluation of bony change aroundostimeatal complex in the elderly with nasalsinusitis[J ] . Geriatr Heal Care, 2018, 24(6): 639-642. DOI: 10.3969/j.issn.1008-8296.2018.06.022.

BANDYOPADHYAY R, BISWAS R, BHATTACHERJEE S, et al . Osteomeatal complex: a study of its anatomical variation among patients attending north Bengal medical college and hospital[J ] . Indian J Otolaryngol Head Neck Surg, 2015, 67(3): 281-286. DOI: 10.1007/s12070-015-0874-z.

BOLGER W E, BUTZIN C A, PARSONS D S. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery[J]. Laryngoscope, 1991, 101(1 Pt 1): 56-64. DOI: 10.1288/00005537-199101000-00010.

郭传超, 毕万利. 多层螺旋CT在窦口-鼻道复合体变异及鼻窦炎的临床应用价值[J]. 医学影像学杂志, 2015(6): 1079-1082.

GUOC C, BI W L. The clinical application value of MSCT in the ostiomeatal complex anatomical variations and sinusitis[J]. J Med Imaging, 2015(6): 1079-1082.

KAYGUSUZ A, HAKSEVER M, AKDUMAN D, et al . Sinonasal anatomical variations: their relationship with chronic rhinosinusitis and effect on the severity of disease-a computerized tomography assisted anatomical and clinical study[J ] . Indian J Otolaryngol Head Neck Surg, 2014, 66(3): 260-266. DOI: 10.1007/s12070-013-0678-y.

SOM P M. CT of the paranasal sinuses[J]. Neuroradiology, 1985, 27(3): 189-201. DOI: 10.1007/bf00344487.

SETHI N. The significance of osteitis in rhinosinusitis[J]. Eur Arch Otorhinolaryngol, 2015, 272(4): 821-826. DOI: 10.1007/s00405-014-3060-0.

LEE J T, KENNEDY D W,PALMER J N, et al . The incidence of concurrent osteitis in patients with chronic rhinosinusitis: a clinicopathological study[J ] . Am J Rhinol, 2006, 20(3): 278-282. DOI: 10.2500/ajr.2006.20.2857.

TELMESANI L M, AL-SHAWARBY M. Osteitis in chronic rhinosinusitis with nasal polyps: a comparative study between primary and recurrent cases[J]. Eur Arch Oto-Rhino-Laryngol, 2010, 267(5): 721-724. DOI: 10.1007/s00405-009-1146-x.

邹华, 田鹏. 慢性鼻-鼻窦炎与骨炎[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(9): 773-777. DOI: 10.13201/j.issn.1001-1781.2015.09.001.

ZOU H, TIAN P. Chronic rhinosinusitis and osteitis[J]. J Clin Otorhinolaryngol Head Neck Surg, 2015, 29(9): 773-777. DOI: 10.13201/j.issn.1001-1781.2015.09.001.

AZILA A, IRFAN M, ROHAIZAN Y, et al . The prevalence of anatomical variations inosteomeatal unit in patients with chronic rhinosinusitis[J ] . Med J Malaysia, 2011, 66(3): 191-194.

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