三维CT影像学分析额窦的发育规律
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1.兰州大学第一临床医学院;2.北京航天总医院;3.宁波大学附属人民医院;4.兰州大学第一医院 耳鼻咽喉头颈外科

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Development of Frontal Sinus in Asians: A Study Based on Three-Dimensional Computed Tomographic
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1.The First Clinical Medical School of Lanzhou University;2.the First Hospital of Lanzhou University

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    摘要:

    目的 通过研究汉族人群正常额窦的影像学CT,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,并测量发育额窦高度、宽度、深度及体积等参数,并对数据统计分析。结果 额窦气化发育最早在2岁儿童中可以观察到(5.0%),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。

    Abstract:

    Objective: This study aimed to explore the development of the frontal sinus (FS) in Han people by computed tomography (CT) images and the growth pattern according to age. Materials and Methods: CT scans of 285 patients aged between 1 and 25 years were enrolled in this retrospective study. Three-dimensional (3D) reconstruction images were obtained using Mimics software, and frontal sinus dimensions (height, width, and depth) and volumes were calculated. All measurements were analyzed independently to find the relation between frontal sinus parameters and age. Results: Frontal sinus started to pneumatize around 2 years old and continually grew until 17. Two accelerated growth periods were found between 4 to 8 and 10 to 14. 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 of age. 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). Conclusions: This study used 3D reconstructed CT graphs to illustrate the dimensions of frontal sinus growth according to age among Han people, helping provide a reference for the diagnosis and treatment of frontal sinus disease and for further research.

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  • 收稿日期:2023-12-04
  • 最后修改日期:2024-01-29
  • 录用日期:2024-01-30
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