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目的探讨CT检查在青少年慢性副鼻窦炎中的诊断及术前评估价值。方法回顾性分析67例经手术和病理证实的青少年慢性副鼻窦炎的冠状位CT资料。结果 67例患者中,鼻中隔偏曲21例、额窦未发育2例、蝶窦未发育1例。漏斗型12例,占17.91%,窦口鼻道复合体型31例,占46.27%,蝶筛隐窝型5例,占7.46%,息肉型19例,占28.36%。结论冠状位CT能清晰的显示鼻窦和中鼻道的解剖及变异,为术前诊断,确定治疗方案及预后评估提供重要的解剖依据,是目前诊断青少年慢性副鼻窦炎疾病的重要的影像学方法。
Objective To investigate the diagnostic value and preoperative evaluation of CT examination in adolescent chronic sinusitis. Methods A retrospective analysis of 67 cases of chronic sinusitis and coronal CT data confirmed by surgery and pathology was performed. Results Among the 67 patients, 21 were nasal septum deviation, 2 were not developed in frontal sinus, and 1 was not developed in sphenoid sinus. Funnel type in 12 cases, accounting for 17.91%, sinus ostiomeatal complex in 31 cases, accounting for 46.27%, butterfly sieve crypt type in 5 cases, accounting for 7.46%, 19 cases of polyps, accounting for 28.36%. Conclusion Coronal CT can clearly show the anatomy and variation of the sinuses and middle nasal passages and provide important anatomic evidence for preoperative diagnosis, treatment and prognosis assessment, and it is an important imaging method for the diagnosis of chronic sinusitis in adolescents .