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临床上常发现鼻窦炎与哮喘同时存在,但二者的确切关系不清楚。本文通过鼻窦X线片来观察窦腔的病理变化与呼吸道疾病的关系,同时将标准X线相(包括枕前位,枕颏位及侧位片)与断层摄片比较,判断前者在诊断中的特异性及敏感性。选择患者哮喘、鼻炎或咳嗽患者270名。根据窦腔X线相观察粘膜水肿(>2mm为异常),透明度(完全混浊或气液平面)及息肉情况。结果表明窦腔最常见的病理变化是粘膜增厚(114人,占42.2％),平均厚度为6.7mm。而标准X线相仅能提示39人异常(占14.4％);有2个假阳性,77个假阴性。23人窦腔透明度下降。标准X线相报告有3个假阳性,7个假阴性。这种改变在儿童较明显,这可能与窦腔大小和粘液脓性分泌物有关。86人(32％)仅有粘膜水肿,不伴有透明度改变或息肉。44例(16.3％)有息肉,其中29人可根据X
Sinusitis and asthma often found in clinical practice, but the exact relationship between the two is not clear. In this paper, the relationship between pathological changes of sinus cavity and respiratory diseases was observed by sinus X-ray films. At the same time, the standard X-ray phase (including anteroposterior position, occipital chin position and lateral position) The specificity and sensitivity. Select patients with asthma, rhinitis or cough in 270 patients. Mucosal edema (> 2mm abnormalities), transparency (complete opacity or gas-liquid level) and polyps were observed according to sinus X-ray. The results showed that the most common pathological changes in the sinus cavity were mucosal thickening (114 persons, 42.2%) with an average thickness of 6.7 mm. The standard X-ray phase can only prompt 39 abnormal (14.4%); 2 false positives, 77 false negatives. 23 sinus decreased transparency. The standard X-ray reports have 3 false positives and 7 false negatives. This change is more pronounced in children, which may be related to sinus size and mucopurulent secretions. 86 (32%) had mucosal edema only, with no change in transparency or polyps. Forty-four (16.3%) had polyps, of which 29 were based on X.