鼻中隔偏曲与球型鼻甲泡的关系

目的：探讨鼻中隔偏曲与球型鼻甲泡的关系。方法：分析972例患者的鼻窦冠状位CT片，观察鼻中隔偏曲和球型鼻甲泡的发生率，并把鼻中隔偏曲分为高位偏血和低位偏曲，测量鼻中隔偏曲角度（SDA）和球型鼻甲泡的横径，探讨鼻中隔偏曲与球型鼻甲泡的关系。结果：182例鼻中隔偏曲患者的球型鼻甲泡发生率为17．03％，790例无鼻中隔偏曲患者的球型鼻甲泡发生率为14．05％，2组间差异无统计学意义（P〉0．05）。60例高位偏曲患者的球型鼻甲泡发生率为33．33％，122例低位偏曲患者的球型鼻甲泡发生率为9．02％，2组间球型鼻甲泡发生率有显著性差异（P〈0．01）。20例高位偏曲伴球型鼻甲泡组SDA平均值为14．55°±3．61°，偏曲凹侧球型鼻甲泡横径均值为（5．93±1．88）mm，两者之间无相关性（P〉0．05）。11例低位偏曲伴球型鼻甲泡组SDA平均值为13．36°±2．42°，偏曲凹侧球型鼻甲泡横径均值为（4．86±1．40）mm，两者之间无相关性（P〉0．05）。结论：鼻中隔高位偏曲与球型鼻甲泡的发生有关，尤其是凹侧易出现球型鼻甲泡。球型鼻甲泡大小并不随SDA增大而增大。

Relationship between nasal septal deviation and the bulbous type concha bullosa

Objective：To analysis the relationship between nasal septal deviation and the bulbous type concha bullosa（CB）. Method：Analysis the paranasal sinus coronal plane CT scans of 972 patients,observe the incidence of nasal septal deviation and bulbous type concha bullosa and classify them into upper septal deviation and lower septal deviation. Measure the septal deviation angle and transverse diameter of the bulbous type concha bullosa, and analysis the relationship between nasal septal deviation and the bulbous type concha bullosa. Result：The incidences of bulbous type concha bullosa was 17.03% of 182 patients with nasal septal deviation and was 14.05% of 790 patients without nasal septal deviation. There was no statistically difference between them（P〉0.05）. The incidences of bulbous type concha bullosa were 33.33% and 9.02% of the patients with upper septal deviation and lower septal deviation,and the difference was statistical（P〈0.01）. The mean of the septal deviation angle was 14.55°± 3.61°,and the transverse diameter of the bulbous type eoncha bullosa was （5.93±1.88）mm in 20 patients with upper septal deviation and CB. The mean of the septal deviation angle was 13.36°±2.42°, and the transverse diameter of the bulbous type concha bullosa was （4.86±1.40）mm in 11 patients with lower septal deviation and CB. There was no statistically difference between the septal deviation angle and the transverse diameter of bulbous type concha bullosa（P〉0.05）. Conclusion：There was a significant relationship between upper nasal septal deviation and bulbous type concha bullosa, especially finding bulbous type concha bullosa in concave sides of nasal septum. But there was no significant relationship between the septal deviation angle and the size of the bulbous type eoncha bullosa.