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目的探讨螺旋CT图像重建在鼻内镜手术的应用价值。方法选取本院鼻内镜治疗的慢性鼻窦炎患者300例进行病变分型,根据图像重建方式随机分为常规CT检查组和CT图像重建组。术后6个月比较两组患者疗效差异。对有临床意义的解剖距离进行测量分析。结果CT重建图像清晰,能全面显示病变结构。1型患者两组相比,治愈率和并发症发生率无显著性差异。2型和3型患者,CT图像重建组治愈率明显高于常规CT检查组,且并发症发生率较低,均有显著性差异。解剖距离个体差异较大。结论螺旋CT图像重建辅助鼻内镜手术具有较好的安全性和治愈率。
Objective To explore the value of spiral CT image reconstruction in endoscopic sinus surgery. Methods 300 patients with chronic sinusitis treated with endoscopic sinus surgery in our hospital were selected for pathological classification. According to the image reconstruction method, they were randomly divided into routine CT examination group and CT image reconstruction group. Six months after surgery, the difference between the two groups was compared. To analyze the clinical anatomic distance. Results CT reconstruction image is clear, can fully display the lesion structure. There was no significant difference in the cure rate and complication rate between the two groups. In type 2 and type 3 patients, the cure rate of CT image reconstruction group was significantly higher than that of conventional CT examination group, and the complication rate was lower, both of which were significantly different. Anatomical distance differences between individuals larger. Conclusion Spiral CT image reconstruction assisted endoscopic sinus surgery has good safety and cure rate.