Shirahata Y
Tokyo Dental College, Ichikawa General Hospital, Department of Otorhinolaryngology.
Nihon Jibiinkoka Gakkai Kaiho. 1990 Dec;93(12):1991-8. doi: 10.3950/jibiinkoka.93.1991.
A retrospective study of 44 patients who were involved in combination with chronic sinusitis and bronchiectasis provided better understanding of the etiology in the relationship between upper air ways tract and lower air way tract. The incidence of bronchictasis was found in 5%, 3 out of 60 cases with chronic sinusitis and that of chronic sinusitis in 45%, 44 out of 98 cases with idiopathic bronchiectasis. Both side involvements of the paranasal sinus and the lung were statistically high in sinobronchiectasis compared to chronic sinusitis or bronchiectasis involved alone. The past history of the patients with sinobronchiectasis showed high occurrence of bronchial asthma or allergic rhinitis, habitual angina of the throat, acute otitis media and pneumonia. A chest X. Ray evaluation of 70 patients with chronic sinusitis alone revealed relatively high incidence of abnormal fibro-nodular shadow in the lung compared to 70 patients without chronic sinusitis. It was thought that weakness of air-way tract to infection in the patients with sinobronchiectasis might play some role on break down of sino-bronchial syndrome, a combination disease of chronic sinusitis and chronic bronchitis.
一项对44例合并慢性鼻窦炎和支气管扩张患者的回顾性研究，能让我们更好地了解上呼吸道与下呼吸道之间关系的病因。在60例慢性鼻窦炎患者中，发现3例（5%）患有支气管扩张；在98例特发性支气管扩张患者中，44例（45%）患有慢性鼻窦炎。与单独患慢性鼻窦炎或支气管扩张相比，鼻窦支气管扩张患者鼻窦和肺部双侧受累在统计学上更为常见。鼻窦支气管扩张患者的既往病史显示，支气管哮喘或过敏性鼻炎、习惯性咽痛、急性中耳炎和肺炎的发生率较高。对70例单纯慢性鼻窦炎患者进行胸部X光评估发现，与70例无慢性鼻窦炎患者相比，肺部出现异常纤维结节阴影的发生率相对较高。据认为，鼻窦支气管扩张患者气道抗感染能力弱可能在慢性鼻窦炎和慢性支气管炎的合并疾病——鼻窦支气管综合征的发病中起一定作用。
