额窦相关头痛患者额隐窝气房发育的影像学特点分析
Anatomical variations and it's imaging characteristics of frontal recess cells in patients with frontal sinus related headache
刘承耀 1王向东 2许庆刚 3崔世磊 4刘仲燕 1赵岩 1张罗2
作者信息
- 1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈外科学教育部重点实验室(首都医科大学),北京 100730;北京市耳鼻咽喉科研究所,鼻病研究北京市重点实验室,北京 100005
- 2. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈外科学教育部重点实验室(首都医科大学),北京 100730;北京市耳鼻咽喉科研究所,鼻病研究北京市重点实验室,北京 100005;首都医科大学附属北京同仁医院变态反应科,北京 100730
- 3. 首都医科大学附属北京同仁医院影像科,北京 100730
- 4. 首都医科大学附属北京同仁医院神经内科,北京 100730
- 折叠
摘要
目的 根据国际额窦解剖分类(International Frontal Sinus Anatomy Classification,IFAC)确定额窦相关头痛患者额隐窝气房变异的出现率,探讨额隐窝气房变异在额窦相关头痛发病中的作用.方法 回顾46例额窦相关头痛接受鼻内镜手术治疗患者的鼻窦CT,分析其额隐窝引流区域的额隐窝相关气房,并分析中鼻道变异和鼻窦受累情况.观察其在头痛与否之间表达是否有差异.结果 92侧鼻窦CT中,鼻丘气房(agger nasi cell,ANC)出现率为100%(92/92),其次筛泡上气房(supra bulla cell,SBC)为78.3%(72/92),鼻丘上气房(supra agger cell,SAC)为67.4%(62/92),筛泡上额气房(supra bulla frontal cell,SBFC)为27.2%(25/92),鼻丘上额气房(supra agger frontal cell,SAFC)为20.7%(19/92),额窦间隔气房(frontal septal cell,FSC)为8.7%(8/92),眶上筛房(supraorbital ethmoid cell,SOEC)为0%(0/92).在传统的额窦引流区域,IFAC分类中的SBFC(P=0.0108)和SAC(P=0.0104)和SAFC(P=0.0088)与额窦相关头痛的发生有显著相关.中鼻道变异如泡状中鼻甲也表现出和额窦相关头痛的发生明显相关(P=0.0390).结论 在额隐窝引流通道中,SAC、SAFC、SBFC及泡状中鼻甲的发育异常均与额窦相关性头痛具有明显的相关.
Abstract
OBJECTIVE To determine the prevalence of frontal recess cells variations in patients with frontal sinus associated headache according to the International Frontal Sinus Anatomy Classification(IFAC).METHODS A retrospective study was conducted on the CT scans of sinuses in patients with frontal sinus associated headache.We reviewed 46 patients with frontal sinus-related headache who had clinical symptoms and were relieved after nasal endoscopic surgery.The development of frontal recess cells in the frontal recess drainage area was analyzed,and the variation of middle meatus and sinus involvement were analyzed in the same time.The Anatomical variations and imaging characteristics of frontal recess cells development in patients with frontal sinus associated headache were analyzed.RESULTS A total of 92 sinus CT profiles were analyzed in 46 patients.The most common cells were agger nasi cell(ANC)(100%,92/92),followed by supra bulla cell(SBC)(78.3%,72/92),supra agger cell(SAC)(67.4%,62/92),supra bulla frontal cell(SBFC)(27.2%,25/92),supra agger frontal cell(SAFC)(20.7%,19/92),frontal septal cell(FSC)(8.7%,8/92)and supraorbital ethmoid cell(SOEC)(0%,0/92).In the conventional frontal sinus drainage area,SAFC(P=0.0108),SAC(P=0.0104)and SAFC(P=0.0088)in the IFAC classification were significantly associated with the occurrence of frontal sinus associated headache.At the same time,the middle concha bullosa also showed a significant correlation with the occurrence of frontal sinus associated headache in the lower segment of the frontal recess drainage channel(P=0.0390).CONCLUSION In the frontal recess drainage channel,the abnormal development of SAC,SAFC,SBFC and the middle concha bullosa are significantly correlated with frontal sinus associated headache.
关键词
额窦/头痛/额隐窝/国际额窦解剖分类/泡状中鼻甲Key words
Frontal Sinus/Headache/frontal recess cells/International Frontal Sinus Anatomy Classification/middle concha bullosa引用本文复制引用
基金项目
国家重点研发计划(2022YFC2504100)
长江学者和创新团队发展计划(IRT13082)
中国医科院医学与健康科技创新工程项目(2019-I2M-5-022)
首都卫生发展科研专项重点攻关项目(2022-1-1091)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据