国际额窦解剖分类细胞的患病率及其与额窦炎相关性的计算机断层扫描分析
Computed tomographic analysis of the prevalence of International Frontal Sinus Anatomy Classification cells and their association with frontal sinusitis.
作者信息
Seth N, Kumar J, Garg A, Singh I, Meher R
机构信息
Department of Radiodiagnosis, Maulana Azad Medical College and Associated Lok Nayak Hospital, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research ('GIPMER') and Guru Nanak Eye Centre ('GNEC') Hospitals, New Delhi, India.
Department of Otorhinolaryngology, Maulana Azad Medical College and Associated Lok Nayak Hospital, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research ('GIPMER') and Guru Nanak Eye Centre ('GNEC') Hospitals, New Delhi, India.
出版信息
J Laryngol Otol. 2020 Oct 14:1-8. doi: 10.1017/S0022215120002066.
OBJECTIVES
To determine the radiological prevalence of frontal cells according to the International Frontal Sinus Anatomy Classification in patients undergoing computed tomography of the paranasal sinuses for clinical symptoms of chronic rhinosinusitis, and to examine the association between cell classification and frontal sinusitis development.
METHODS
A total of 180 (left and right) sides of 90 patients were analysed. The prevalence of each International Frontal Sinus Anatomy Classification cell was assessed. Logistic regression analysis was used to compare the distribution of various cells in patients with and without frontal sinusitis.
RESULTS
The agger nasi cell was the most commonly occurring cell, seen in 95.5 per cent of patients. The prevalence rates for supra agger cells, supra agger frontal cells, supra bullar frontal cells, supra bullar cells, supra-orbital ethmoid cells and frontal septal cells were 33.3 per cent, 22.2 per cent, 21.1 per cent, 36.1 per cent, 39.4 per cent and 21.1 per cent, respectively. There was no significant difference in the occurrence of any of the cell types in patients with frontal sinusitis compared to those without (p > 0.05).
CONCLUSION
The presence of any of the International Frontal Sinus Anatomy Classification cells was not significantly associated with frontal sinusitis.
目的
根据国际额窦解剖分类法，确定因慢性鼻窦炎临床症状接受鼻窦计算机断层扫描的患者中额隐窝气房的放射学患病率，并研究气房分类与额窦炎发展之间的关联。
方法
对90例患者的180侧（左右两侧）进行分析。评估每种国际额窦解剖分类气房的患病率。采用逻辑回归分析比较有和没有额窦炎患者中各种气房的分布情况。
结果
鼻丘气房是最常见的气房，在95.5%的患者中可见。鼻丘上气房、鼻丘上额气房、筛泡上额气房、筛泡上气房、眶上筛骨气房和额中隔气房的患病率分别为33.3%、22.2%、21.1%、36.1%、39.4%和21.1%。与没有额窦炎的患者相比，有额窦炎的患者中任何一种气房类型的出现率均无显著差异（p>0.05）。
结论
国际额窦解剖分类法中的任何一种气房的存在与额窦炎均无显著关联。
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