鼻中隔偏曲对双侧鼻腔鼻窦炎发病率影响的临床研究

目的：探讨鼻中隔偏曲对双侧鼻腔鼻窦炎发病率的影响。方法回顾性分析2000例鼻中隔偏曲合并慢性鼻窦炎患者的临床资料。结果（1）鼻中隔偏曲窄侧鼻腔与宽侧鼻腔鼻窦炎的发病例数分别为1691例（84．6％）比1572例（78．7％）；平均秩次分别为1669．066比1285．247；危险度RR值分别为1．5比0．8，差异有统计学意义（χ2＝14．963，P＜0．01）；（2）男女鼻窦炎发病率和鼻中隔向左右侧偏曲发生率差异无统计学意义（χ2＝1．528，1．063，均P＞0．05）；（3）窄侧与宽侧的解剖结构变异主要包括：钩突肥大[6．9％比26．5％]，中鼻甲肥大[7．7％比38.6％]，筛泡肥大[26．7％比39．9％]，中鼻甲反常曲线[4．8％比14．9％]，下鼻甲肥大[50．6％比62．6％]，鼻中隔高位黏膜肥厚[0．5％比2．5％]。结论鼻中隔偏曲患者窄侧鼻腔鼻窦炎发病率高于宽侧；宽侧鼻腔发生代偿使鼻窦炎发病率升高；下鼻甲肥大与鼻窦炎的发生密切相关；单纯性鼻中隔矫正手术效果不理想。

The influence of nasal septum deviation on the incidence of bilateral nasal sinusitis

Objective To explore the influence of nasal septum deviation on the incidence of bilateral nasal sinusitis.Methods The clinical data of 2 000 patients with nasal septum deviation combined chronic sinusitis were retrospectively analyzed.Results （1）The nasal sinusitis case of narrow side and wide side was 1 691 cases vs 1 572 cases;The RR values of risk was 1.5 vs 0.8,the difference was significant （χ2 =14.963,P0.05）;（3） The anatomical variations of the narrow side and wide side were mainly included hook hypertrophy（6.9%vs 26.5%）,middle turbinate hypertrophy （7.7% vs 38.6%）,screen bubble hypertrophy （26.7%vs 39.9%）,abnormal middle turbinate curve （4.8%vs 14.9%）,inferior turbinate hypertrophy （50.6%vs 62.6%）,high septum mucosa hypertrophy （0.5%vs 2.5%）.Conclusion Patients with nasal septum deviation the narrow lateral nasal sinusitis incidence was higher than wide side;the compensatory make a high incidence of nasal sinusitis of wide lateral;the inferior turbinate hypertrophy closely related to the sinusitis;the effect of simple nasal sep-tum corrective surgery is not ideal .