三维CT影像学分析额窦的发育规律
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兰州大学第一医院院内基金(ldyyyn2020-56)。


Analysis of the frontal sinus development by three-dimensional CT imaging
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    目的 通过研究汉族人群正常额窦的CT影像,分析左右额窦发育与年龄间的关系。方法 回顾性分析285例1~25岁患者的CT资料,通过Mimics软件进行双侧额窦的三维重建,观察额窦气化发育的时间,并测量发育额窦的高度、宽度、深度及体积等参数,对数据统计分析。结果 额窦气化发育最早在2岁儿童中可以观察到,其大小随着年龄增加而增大,在4~8岁和10~14岁时有激增期,17岁以后发育成型;左侧额窦有发育优势;男性额窦大于女性,但17岁以下无统计学差异,17以上的成熟额窦除了右侧宽度(P=0.085)外均具有统计学意义(P<0.05)。结论 通过CT三维重建来理解额窦的正常发育规律,为不同年龄汉族人群额窦疾病的诊断与治疗提供参考。

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    Objective This study aimed to explore the development of the frontal sinus in Han people by computed tomography (CT) images, and to analyze the growth pattern according to age. Methods It was retrospectively analyzed for CT data of 285 patients aged from 1 to 25 years. Three-dimensional reconstruction of bilateral frontal sinus was performed by Mimics software. The development time of frontal sinus pneumatization was observed. The height, width, depth and volume of developing frontal sinus were measured, and the data were analyzed statistically. Results Frontal sinus pneumatosis was observed as early as in children aged 2 years, and its size increased with age, with a surge period in 4~8 years and 10~14 years, and developed after 17 years. The volume of the left frontal sinus was statistically significantly larger than the right. Frontal sinus was bigger in males than in females, but no statistically significant difference was observed under 17 years old. After frontal sinus reached adult levels (17 years old), there was a statistically significant difference between genders (P<0.05), except for the width of the right frontal sinus (P=0.085). Conclusion The normal development of frontal sinus was understood by CT 3D-reconstruction,which will provide a reference for the diagnosis and treatment of frontal sinus diseases in Han people of different ages.

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李雨琦,杨雨濛,孔江维,周威邦,刘小涵,侯赟,张小兵.三维CT影像学分析额窦的发育规律[J].中国耳鼻咽喉颅底外科杂志,2024,30(5):6-11

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  • 收稿日期:2023-12-04
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  • 在线发布日期: 2024-11-05
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