实用临床医药杂志2025，Vol.29Issue(8)：12-16,5.DOI:10.7619/jcmp.20246295
筛前动脉与前颅底解剖变异相关性的三维重建CT分析
Three-dimensional CT reconstruction analysis of correlation between anatomical variations of anterior ethmoidal artery and anterior skull base
摘要
Abstract
Objective To investigate the correlation between the anterior ethmoidal artery(AEA)and anatomical variations of the anterior cranial base,and to analyze the predictive factors for AEA suspension.Methods Sinus CT imaging data of 159 patients undergoing endoscopic sinus sur-gery(ESS)were retrospectively analyzed.Mimics 21.0 software was utilized for three-dimensional reconstruction,measuring parameters of AEA and anterior cranial base anatomy and performing classi-fication.Pearson and Spearman correlation analyses were used to evaluate the correlations among vari-ous anatomical parameters and their classifications.Multivariate binary logistic regression analysis was performed to screen for independentpredictive factors of AEA suspension.Results The rates of AEA suspension differed significantly across different Keros classifications(P＜0.001),with an increase rate as the Keros classification level increased(P＜0.001).The transverse diameter,height and vol-ume of supraorbital ethmoid cells(SOEC),olfactory fossa depth,lateral lamella of the cribriform plate(LLCP)length and frontal sinus pneumatization classification grade were positively correlated with the distance from AEA to the cranial base(P＜0.05).Multivariate binary Logistic regression analysis showed that the presence of SOEC(OR=4.178,95％CI,2.517 to 6.935,P＜0.001),in-creased olfactory fossa depth(OR=1.433,95％CI,1.197 to 1.715,P＜0.001),and higher frontal sinus pneumatization classification grade(OR=1.621,95％CI,1.121 to 2.345,P=0.01)were independent predictive factors for AEA suspension.Conclusion Detailed preoperative CT imaging assessment,especially the analysis of SOEC,olfactory fossa depth and frontal sinus pneumatization classification,aids in accurately assessing the anatomical position of AEA,thereby effectively reduc-ing the risk of AEA injury,and improving the safety and success rate of surgery.关键词
筛前动脉/解剖变异/内镜鼻窦手术/CT评估/三维重建/眶上筛房/悬空率/额窦气化分型Key words
anterior ethmoidal artery/anatomic variation/endoscopic sinus surgery/CT e-valuation/three-dimensional reconstruction/supraorbital ethmoid cell/suspension rate/frontal si-nus pneumatization classification分类
医药卫生引用本文复制引用
袁星,连荣,张国正,庞博,赵焓宇,常吉祥,刘月,余文发..筛前动脉与前颅底解剖变异相关性的三维重建CT分析[J].实用临床医药杂志,2025,29(8):12-16,5.基金项目
河南省省部共建项目(SBGJ2018056) （SBGJ2018056）
