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鼻窦内窥镜手术前通过冠状面断层计算机断层扫描测量筛窦颅底高度与外侧板长度之间的关系。

Relationship between Height of Ethmoid Skull Base and Length of Lateral Lamella by Sectional Coronal Computed Tomography Scan before Endoscopic Sinus Surgery.

作者信息

Hashemi Seyyed Mustafa, Berjis Nezamoddin, Ebrahimi Hamidreza

机构信息

Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Biomed Res. 2018 Mar 27;7:48. doi: 10.4103/abr.abr_109_15. eCollection 2018.

DOI:10.4103/abr.abr_109_15
PMID:29657933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5887700/
Abstract

BACKGROUND

Damage to ethmoid skull base (ESB) and lateral lamella (LL) during endoscopic sinus surgery (ESS) causes penetration into the brain. This study is aimed to determine the relationship between the height of ESB and length of LL by sectional coronal computed tomography (CT) scans before ESS.

MATERIALS AND METHODS

In a cross-sectional study, 100 patients admitted to ENT clinic of Al-Zahra Hospital, filled the consents regarding the use of CT scan stereotype. Each stereotype was evaluated and using the software on two sides the height of ESB and the length of LL were measured, investigated and recorded. Next, the maximum and minimum height and length in the two sides was measured, and its mean calculated. Then, the relationship between the length of LL and the height of ESB was investigated.

RESULTS

There was a direct correlation, with the rate of 0.25 between the length of right LL and height of right ESB that was significant according to Pearson test ( = 0.013). Also, the rate of correlation between the left LL and height of left ESB was 0.15 that was not significant according to Pearson test ( = 0.15).

CONCLUSION

Based on this study there was a direct correlation between height of the right ESB and the length of LL, but this correlation is very low, about 0.25 and even this correlation was lower in the case of left, about 0.15, which both of them are not significant. This may be due to other affecting factors, such as length, slope and angle of fovea ethmoidallis from the horizontal line.

摘要

背景

鼻内镜鼻窦手术（ESS）期间筛窦颅底（ESB）和外侧板（LL）损伤会导致进入脑部。本研究旨在通过ESS术前的冠状位断层计算机断层扫描（CT）确定ESB高度与LL长度之间的关系。

材料与方法

在一项横断面研究中，100名入住阿尔-扎赫拉医院耳鼻喉科门诊的患者填写了关于使用CT扫描模板的知情同意书。对每个模板进行评估，并使用软件在两侧测量、研究和记录ESB的高度和LL的长度。接下来，测量两侧的最大和最小高度及长度，并计算其平均值。然后，研究LL长度与ESB高度之间的关系。

结果

右侧LL长度与右侧ESB高度之间存在直接相关性，根据Pearson检验，相关率为0.25（P = 0.013），具有显著性。左侧LL与左侧ESB高度之间的相关率为0.15，根据Pearson检验不具有显著性（P = 0.15）。

结论

基于本研究，右侧ESB高度与LL长度之间存在直接相关性，但这种相关性非常低，约为0.25，左侧的相关性更低，约为0.15，两者均不具有显著性。这可能是由于其他影响因素，如筛骨凹的长度、斜率和与水平线的角度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/269a9883b699/ABR-7-48-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/1b4d96717443/ABR-7-48-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/319bcc70bd00/ABR-7-48-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/2f7b1e4e76a9/ABR-7-48-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/8c1720e95495/ABR-7-48-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/2104d9915493/ABR-7-48-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/6e2e7fca3397/ABR-7-48-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/e79b4a4517bf/ABR-7-48-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/269a9883b699/ABR-7-48-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/1b4d96717443/ABR-7-48-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/319bcc70bd00/ABR-7-48-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/2f7b1e4e76a9/ABR-7-48-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/8c1720e95495/ABR-7-48-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/2104d9915493/ABR-7-48-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/6e2e7fca3397/ABR-7-48-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/e79b4a4517bf/ABR-7-48-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/5887700/269a9883b699/ABR-7-48-g011.jpg

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Ethmoid skull-base height: a clinically relevant method of evaluation.筛骨颅底高度：一种有临床意义的评估方法。
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