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额隐窝区域解剖结构CT影像学研究
引用本文:王鹏,徐勋华,李伟,赵平,甄宏韬,高起学. 额隐窝区域解剖结构CT影像学研究[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(5): 214-215
作者姓名:王鹏  徐勋华  李伟  赵平  甄宏韬  高起学
作者单位:1. 武钢总医院耳鼻咽喉科,武汉,430080
2. 武钢总医院放射科
3. 华中科技大学同济医学院附属同济医院耳鼻咽喉-头颈外科
摘    要:目的:通过观察额隐窝区域的CT影像学特征,对该区域重要的解剖结构进行分析和研究。方法:选择82例(164侧)患者,对头部行多排螺旋CT扫描(螺距1mm,扫描层厚5mm,层距5mm),然后在图像工作站上进行冠状位图像重建。观察影像上鼻丘气房、钩突上端附着点、额气房、眶上气房、额泡气房和额窦内间隔气房等解剖标志的出现概率。结果:鼻丘气房的出现率为87.8%。钩突前上部参与构成鼻丘气房的内壁、上壁、下壁和后壁,后上部向上可有单一附着点(89%)或2个附着点(11%)。钩突后上部的单一附着点主要位于眶纸板(54.9%),也可附着于中鼻甲(30.5%)或颅底(3.0%)。钩突后上部的2个附着点主要附着于眶纸样板和颅底(15侧,9.2%),也可附着于眶纸板和中鼻甲(4侧,2.4%)。额气房的出现率为40.3%,其中Ⅰ、Ⅱ型(30.5%)最多见,Ⅲ型和Ⅳ型(9.8%)少见,额窦间隔气房的出现率为4.3%。结论:额气房在额窦炎的发病过程中起着重要作用。

关 键 词:额窦  解剖学  局部  体层摄影术  X线计算机  额隐窝

Computed tomographic analysis of frontal recess region
WANG Peng XU Xunhua ZHAO Ping ZHEN Hongtao GAO Qixue. Computed tomographic analysis of frontal recess region[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2009, 23(5): 214-215
Authors:WANG Peng XU Xunhua ZHAO Ping ZHEN Hongtao GAO Qixue
Affiliation:1Department of Otolaryngology;WISCO General Hospital;Wuhan;430080;China;2Department of Radiology;3Department of Otolaryngology-Head and Neck Surgery;Tongji Hospital;Tongji Medical College;Huazhong University of Science and Technology
Abstract:Objective:The purpose of the study was to observe the CT imaging features of the frontal recess regional.Method:Eighty-two patients were undergone spiral computed tomography(CT).Then multiplanar reconstruction images were made using standard triplanar reconstruction protocol on a computer workstation.Result:The prevalence of agger nasi cell was 87.8%(144/164).One hundred and forty-five(89%,145/164) uncinate processes had one superior attachment for each uncinate process.The others had two superior attachmen...
Keywords:frontal sinus  anatomy  regional  tomography  X-ray computed  frontal receass  
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