鼻声反射和CT对正常鼻腔截面积测定的比较
投稿时间:2010-09-09    点此下载全文
引用本文:强笔,王衡,田兴德,雷红卫.鼻声反射和CT对正常鼻腔截面积测定的比较[J].医学研究杂志,2011,40(5):114-116
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作者单位
强笔 湖北省荆州市第一人民医院暨长江大学附属第一医院耳鼻咽喉-头颈外科 
王衡 湖北省荆州市第一人民医院暨长江大学附属第一医院耳鼻咽喉-头颈外科 
田兴德 湖北省荆州市第一人民医院暨长江大学附属第一医院耳鼻咽喉-头颈外科 
雷红卫 影像中心 
中文摘要:目的探讨鼻声反射(AR)用于鼻腔截面积测量的准确性。方法对10例(20侧)成人正常鼻腔行螺旋CT和鼻声反射检测,CT重建层面与鼻腔声波传导弧线垂直。比较两种检测方法的面积-距离曲线,并进行统计学分析。结果CT和鼻声反射对鼻瓣区检测结果直线相关和回归分析r=0.885(P<0.01,CT=0.17+0.82AR)。距前鼻孔6.0cm内的相关性(r=0827,P<0.01)比6.0cm以后(r=0.352,P<0.01)高。距前鼻孔6.0cm以后至鼻咽部,鼻声反射对截面积评测过高。结论鼻声反射测量能准确提供距前鼻孔6.0cm内的距离-面积信息,对距前鼻孔6.0cm以后评测过高,更适用于距前鼻孔60cm内的测量。
中文关键词:鼻腔  鼻测量  声学  体层摄影术  X线计算机  面积分析
 
Measurements of Cross-sectional Area of the Nasal Cavity by Acoustic Rhinometry and Computed Tomography
Abstract:ObjectiveTo evaluate the accuracy of acoustic rhinometry(AR) in estimating nasal airway cross-sectional areas by computed tomography (CT). MethodsTwenty normal nasal passages of 10 adults were examined by AR and CT. Actual cross-sectional areas of the nasal cavity were determined from CT sections perpendicular to the curved acoustic axis of the nasal passage. The area-distance curves derived from both methods were compared. ResultsLinear regression analysis revealed a reasonable agreement of AR and CT in the nasal valve( r=0.885,P<0.01,CT=0.17+0.82AR). The correlation between AR and CT in the anterior part of the nasal cavity below 6.0cm distance from the nostrils(r=0.827,P<0.01)revealed a better reasonable agreement than in the posterior part(r=0.352,P<0.01). Beyond 6.0cm to choana, AR overestimated cross-sectional area. ConclusionAR is a reasonably accurate method for measuring area-distance in the anterior part of the nasal cavity,and the overestimation of cross-sectional area occurs in the posterior nose.
keywords:Nasal cavity  Rhinometry  Acoustic  Tomography, X-ray computed  Area analysisl
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