Wu Jianping, Tao Zezhang, Xu Yu, Kong Yonggang, Wu Yuzhen
Department of Otolaryngology, People's Hospital of Hongan County, Hongan 438400, China.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Sep;19(17):790-1.
To observe the incidence rate of chronic sinusitis in the patients with perennial allergic rhinitis, and explore the possible etiology of sinusitis.
Fifty-seven patients were examined with endoscope and CT scan.
Of the 57 patients, 18 (32%) patients had chronic sinusitis, among which 17 patients had different kinds and different extents of anatomy abnormalities of nose cavity including deviation of nasal septum, concha bullosa, hypertrophy of uncinate process, paradoxical curvature of middle turbinate, etc. Thirty-nine patients didn't complicated with chronic sinusitis, among which only 7 patients had anatomy abnormalities of nose cavity.
Anatomy abnormalities of nose cavity may be the basic etiology of sinusitis in patients with perennial allergic rhinitis; The edema of nasal mucous and the change of nasal discharge caused by perennial allergic rhinitis may be the triggering factor of chronic sinusitis. Both of these two factors are involved in the pathogenesis of sinusitis.
观察常年性变应性鼻炎患者慢性鼻窦炎的发病率,并探讨鼻窦炎可能的病因。
对57例患者进行鼻内镜及CT扫描检查。
57例患者中,18例(32%)患有慢性鼻窦炎,其中17例有不同类型和不同程度的鼻腔解剖异常,包括鼻中隔偏曲、泡状鼻甲、钩突肥大、中鼻甲反常弯曲等。39例未合并慢性鼻窦炎,其中仅7例有鼻腔解剖异常。
鼻腔解剖异常可能是常年性变应性鼻炎患者鼻窦炎的根本病因;常年性变应性鼻炎引起的鼻黏膜水肿及鼻分泌物改变可能是慢性鼻窦炎的触发因素。这两个因素均参与了鼻窦炎的发病机制。