鼻中隔肿胀体是一种普遍存在的解剖结构：鼻塞患者的内镜分级与基于CT的形态学分析
Nasal Septal Swell Body is a Universal Anatomical Structure: Endoscopic Grading and CT-Based Morphometric Analysis in Patients with Nasal Obstruction.
文献信息
| PMID | 42937382 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | M E Sivrice |
| 作者单位 | Department of Otorhinolaryngology, Süleyman Demirel University, Isparta, Türkiye. |
| 期刊 | Nigerian journal of clinical practice |
| SCI 分区 | Q3 |
| IF | 1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 鼻中隔肿胀体（NSSB）是一种影响鼻腔气流的结构，肥大时可能导致鼻塞。
目的： 通过内镜和影像学评估NSSB的患病率、性别分布及大小特征，这些特征在鼻腔呼吸生理中发挥作用。
方法： 本横断面研究纳入2025年1月至7月期间因鼻塞就诊的148例患者。所有患者均接受鼻内镜检查。采用内镜分级评分对NSSB进行分类。在鼻窦计算机断层扫描（PNS CT）冠状位上，从NSSB最宽表面测量宽度和高度。所获数据按年龄、性别、NSSB分级评分及大小测量进行统计分析。
结果： 所有纳入研究的患者均检出NSSB（100%）。研究人群中女性占40.5%，男性占59.5%，平均年龄为36.11 ± 16.76岁。年龄与NSSB尺寸之间未发现显著关系。NSSB宽度与高度之间呈弱正相关（P = 0.019）。男性患者的NSSB宽度、高度及内镜分级评分均显著高于女性患者（P < 0.001）。NSSB宽度在不同NSSB分级评分组间存在显著差异，而高度未见显著差异。
结论： 所有病例均检出NSSB，提示该结构可能比既往文献报道的更为普遍。鉴于其使鼻瓣区狭窄的作用，在评估鼻塞患者时应考虑NSSB肥大。
英文摘要
BACKGROUND: The nasal septal swell body (NSSB) is a structure that influences nasal airflow and may contribute to nasal obstruction when hypertrophied.
AIM: To evaluate the prevalence, gender distribution, and size characteristics of NSSB, which play a role in nasal breathing physiology, endoscopically and radiologically.
METHODS: This cross-sectional study included 148 patients who presented with nasal congestion between January and July 2025. All patients underwent nasal endoscopic examinations. NSSB was classified using an endoscopic grading score. Width and height measurements were taken from the widest surface of the NSSB in coronal sections of paranasal sinus computed tomography (PNS CT). The obtained data were statistically analyzed in terms of age, gender, NSSB grade score, and size measurements.
RESULTS: NSSB was detected in all patients included in the study (100%). Of the study population, 40.5% were female and 59.5% were male, with a mean age of 36.11 ± 16.76 years. No significant relationship was found between age and NSSB dimensions. A weak positive correlation was found between NSSB width and height ( P = 0.019). NSSB width, height, and endoscopic grade score were significantly higher in male patients compared to female patients ( P < 0.001). NSSB width differed significantly among NSSB grade score groups, whereas no significant difference was found in height.
CONCLUSION: The detection of NSSB in all cases suggests that this structure may be more prevalent than previously reported in the literature. It is important to consider the NSSB hypertrophy in the evaluation of patients presenting with nasal obstruction due to its effect on narrowing the nasal valve.