期刊文献+

MSCT对下鼻甲外移鼻腔拓宽术疗效的评价 预览 被引量:1

Evaluation of the Curative Effect of Nasal MSCT Shift to Broaden the Inferior Turbinate
在线阅读 免费下载
分享 导出
摘要 目的通过MSCT对下鼻甲外移鼻腔拓宽术疗效的评价,从鼻腔结构、鼻客观功能等方面,对下鼻甲外移鼻腔拓宽手术的可行性和优越性进行评估,为临床治疗提供依据、评价手术疗效。方法选择50例单纯鼻塞患者作为研究对象,所有患者手术前MSCT扫描均表现为不同程度下鼻甲肥大鼻腔狭窄,在术前术后分别对患者行CT定位测量及鼻阻力计测量。结果与手术前相比,手术后IER、EER、MDTB、MDTT、NLDT、右侧ITT、左侧ITT有显著性差异(t=-17.831、-22.982、-8.321、8.703、6.710、12.126、14.492,P〈0.05);鼻呼气相总阻力与MDTT、MDTB均呈现负相关关系(r=-0.570、-0.551,P〈0.05);鼻吸气相总阻力与MDTT、MDTB均呈现负相关关系(r值分别为-0.570、-0.551,P〈0.05)。结论多层螺旋CT测量是客观的证明鼻腔拓宽术术后存在鼻腔结构改变的方法,鼻阻力测量则是可靠地评价鼻腔通气的客观方法,能够作为评价手术疗效和鼻通气功能改善的有效依据。 Objective By MSCT of inferior turbinate shift nasal broaden the clinical curative effect evaluation, from the structure of nasal cavity and nasal objective function and the inferior turbinate shift nasal broaden the operation feasibility and superiority assessment, provide basis, to evaluate the effect of operation for clinical treatment. Methods 50 cases with nasal obstruction patients as the research object, all patients before MSCT scan showed different degrees of inferior turbinate hypertrophy of nasal stenosis in preoperative and postoperative patients underwent the CT measurement and nasal resistance meter measurement. Results Compared with before surgery, IER, EER, MDTB, MDTT, NLDT, right ITT, left ITT were significantly different(t=-17.831,-22.982,-8.321, 8.703, 6.710, 12.126, 14.492, P〈0.05). The total resistance and MDTT, MDTB were negatively correlated(-0.570-0.551, P〈0.05). The total resistance and MDTT, MDTB were negatively correlated(R values were-0.570, P,-0.5510.05). Conclusion Multi slice spiral CT measurement is an objective method to prove the nasal cavity structure change after nasal cavity widening, and the nasal resistance measurement is an objective method to evaluate the nasal airway pressure.
作者 李保红 史靖 储成凤 葛洪 邢真谛 张庆翔 杨小庆 LI Bao-hong, SHI Jing, CHU Cheng-feng,et al.( Department of Radiology, Nanjing Tongren Hospital Affiliated to Southeast University Medical School, Nanjing 211102, Jiangsu Province, China)
出处 《中国CT和MRI杂志》 2016年第5期26-29,共4页
基金 2015年南京同仁医院院内科研项目,项目编号:2015E008
关键词 鼻塞 下鼻甲手术 鼻腔拓宽术 鼻腔CT测量 鼻阻力测量 Nasal Congestion Inferior Turbinate Surgery Widening of Nasal Cavity Nasal CT Measurement Nasal Resistance Measurement
  • 相关文献

参考文献20

二级参考文献122

  • 1曹艳 ,陈克敏 ,潘自来 ,刘嘉玲 ,黄绍光 .阻塞性睡眠呼吸暂停低通气综合征上气道的多层螺旋CT研究[J].中华放射学杂志,2004,38(9):967-970. 被引量:8
  • 2刘迎曦 ,于申 ,孙秀珍 ,苏英锋 ,张军 .鼻腔结构形态对鼻腔气流的影响[J].中华耳鼻咽喉头颈外科杂志,2005,40(11):846-849. 被引量:67
  • 3宁殿秀,李智勇,王克礼,苗延巍,伍建林,郎志谨,杜敏安.CT血管成像诊断脑动脉瘤的漏诊原因分析[J].放射学实践,2007,22(4):365-367. 被引量:17
  • 4蒋奕,郑小华,叶果,郭强,饶中和.正常成年人上气道CT测量值研究[J].中国耳鼻咽喉头颈外科,2007,14(7):435-437. 被引量:5
  • 5STEIN S C, BURNETT M G, ZAGER E L, et al. Completion angiography for surgically treated cerebral aneurysms: an economic .analysis [J]. Neurosurgery, 2007, 61 (6): 1162- 1169. 被引量:1
  • 6任祖渊.蝶鞍部肿瘤[M]//王忠诚.王忠诚神经外科学.1版.武汉:湖北科学技术出版社,2005:620-650. 被引量:1
  • 7MATSUMOTO M, KASUYA H, SATO T, et al. Can 3DCT angiography (3D-CTA) replace conventional catheter angiography in ruptured aneurysm surgery? Our experience with 162 cases [J]. Fukushima J Med Sci, 2007, 53(2): 85- 94. 被引量:1
  • 8VAPHIADES M S, CURE J, KLINE L. Management of intracranial aneurysm causing a third cranial nerve palsy: MRA, CTA or DSA [J]? Semin Ophthalmol, 2008, 23(3): 143- 150. 被引量:1
  • 9WILLINSKY R A, TAYLOR S M, TKRBRUGGE K, et al. Neurologic complications of cerebral angiography: prospective analysis of 2, 899 procedures and review of the literature [J]. Radiology, 2003, 227(2): 522-528. 被引量:1
  • 10LINDEMANN J, KECK T, WIESMILLER K,et al. Nasal air temperature and airflow during respiration in numerical simulation based on multislice computed tomography sean[J]. Am J Rhinol, 2006,20: 219 - 223. 被引量:1

共引文献319

同被引文献20

引证文献1

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈