山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (5): 28-30.

• 论文 • 上一篇    下一篇

筛骨钩突上端附着及额窦引流位置的冠状位CT观察

王立银,王振海   

  1. 中国医科大学附属盛京医院耳鼻喉科, 沈阳 110003
  • 收稿日期:2009-09-02 修回日期:2009-10-12 出版日期:2009-10-16 发布日期:2009-10-16
  • 通讯作者: 王振海,男,副教授,主要从事鼻科学的临床研究。
  • 作者简介:王立银,男,住院医师,主要从事鼻科学的临床研究。Email:wangly@sj-hospital.org

Coronal computed tomographic analysis of the uncinate process and frontal sinus drainage pathway

WANG Liyin, WANG Zhenhai   

  1. Department of Otorhinolaryngology, Shengjing Hospital of China Medical University, Shenyang 110003, China
  • Received:2009-09-02 Revised:2009-10-12 Online:2009-10-16 Published:2009-10-16

摘要:

目的  通过冠状位CT扫描图像来观察筛骨钩突上端的附着及额窦引流与钩突间的关系。方法  选择我科因鼻窦炎等鼻部疾病住院患者50例,行64层CT扫描,去除局部结构不清者5侧,观察95侧患者筛骨钩突上端附着、额窦引流情况及规律。结果  62%的筛骨钩突上端有多个(两个或以上)附着点;94%(89/95)额窦直接引流入中鼻道;当筛骨钩突上端有多个附着点时,95%(56/59)的额窦直接引流入中鼻道。结论  鼻窦冠状位可清晰显示额隐窝周围结构,能基本满足临床手术要求;筛骨钩突上端附着方式与额窦引流关系密切,清楚认识其规律性对于鼻内窥镜下额窦手术有重要指导意义。

关键词: 额窦;筛骨;钩突;体层摄影术, X线计算机

Abstract:

 Objective  To recognize the regularity of the uncinate process'superior attachment sites and frontal sinus drainage pathway in rhino-patients. Methods  50 coronal computed tomography scans of the sinuses performed from July 2007 to November 2007 were evaluated. Result  About 62% (59/95) of the uncinate process had two or more superior attachment sites, and the other 38%(36/95) had one superior attachment site.When the uncinate process had two or more superior attachment sites, 95%(56/59) of frontal sinuses directly drained into the middle nasal meatus. Conclusion  The structure of the frontal recess could be clearly recognized by coronal computed tomography.

Key words: Frontal sinus; Uncinate process of the ethmoid bone; Tomography, X-ray computed

中图分类号: 

  • R445.3
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