上顎洞炎의 放射線學的 硏究
Radiologic Study Of The Maxillary Sinusitis
치과방사선 1981년 11권 1호 p.41 ~ 50
소속 상세정보
최순철(崔珣哲)/Soon Chul Choi
KMID : 0378219810110010041
Abstract
著者는 서울大學校 病院 齒科放射線科에 來院하여 上顎洞炎으로 診斷된 患者의 360名의
X선 寫眞像을 觀察하여 다음과 같은 結果를 얻었다.
1. 441개의 上顎洞中 粘膜 肥厚를 보인 것이 250例(56.7%)이고 全般的인 放射線不透過性
增加를 보인 것이 160例(36.3%)로 全體의 93.0%였다.
2. 여덟 가지 粘膜 肥厚 樣狀中 均一하게 肥厚된 것이 98례(36.3%), 鼻小孔 部位를 除外하
고 粘膜 肥厚된 것이 59例(21.9%)였다.
3. 骨壁 變化는 전체의 35.6%에서 볼 수 있었으며 不分明한 白線으로 觀察된 것이 78.2%
로 가장 많았다.
4. 患者의 主訴中 疼痛이 62例(41.9%)이고 排膿이 31例(21.0%)이며 腫賑이 27례(18.2%)였
다.
5. 上顎洞底의 形態 分類에서 全體低下型이 120 例(55.0%)로 가장 많았고 原因齒로는 第
一大臼齒가 94례(61.0%)로 가장 많았다.
6 orthopantomography에서 放射線不透過性 增加를 認定할 수 있었던 것이 138例중
46.4%이고 疑心스러웠던 것이 23.9%였다.
#초록#
Radiographic features of maxillary sinusitis, types of mucosal thickening, types of
bony wall change, and relationship between the radiographic features and symptoms of
patients were observed and classified in the Waters' view of 360 patients with 441
maxillary sinuses demonstrating radiologic changes, And the classification of antral floor
and pathologic change was ob served in the 154 periapical films. Finally, the value of
orthopantomography in the diagnosis of maxillary sinusitis was evaluated in the 138
cases, The obtained results were as followings.
1. Among 441 maxillary sinuses examined by Waters' projection, mucosal thickening
was seen in 56.7% and generalized opacification was seen in 36.3%.
2. Among 270 mucosal thickenings classified 8 types, overall regularly thickened type
was the highest in incidence (36.3%).
3. Bony wall change was seen in 35.6% of all cases and the indistinct white line of
the cortical plates was the highest in incidence (78.2%) among the 6 types,
4. Pain (41.9%) and pus discharge (21.0%) were the most frequent symptoms. And
pus discharge, foul odor, and headache was more prevalent in type of generalized
opacification than any other types.
5. Regular pneumatization involving all roots of premolars and molars was the highest
in incidence (55.0%). The first molar presented the most frequent involvement (61.0%).
6. In orthopantomography, 46.4% showed apparent increased radiopacity and 23.9%
showed suspicious increased radiopacity in comparison to Waters' projection.
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