REPO

Annual Reports of Misasa Medical Center, Okayama University volume68
1997-12 発行

気管支喘息症例における臨床的特徴と鼻腔・副鼻腔のCT所見の関連について

Mifune, Takashi
Yamamoto, Kazuhiko
Iwagaki, Naofumi
Okamoto, Makoto
Tsugeno, Hirofumi
Ashida, Kozo Kaken ID researchmap
Mitsunobu, Fumihiro Kaken ID publons researchmap
Hosaki, Yasuhiro
Tanizaki, Yoshiro
Tada, Shinya
Harada, Mine
Publication Date
1997-12
Abstract
Extent of nasal and maxillary mucosa lesion was estimated in 26 asthmatics using computed tomographic scan in relation to clinical features of the disease. 1. No significant differences were present in nasal mucosal thickening between atopic and non-atopic subjects. No significant differences were also present in occupancy rate of mucosa in maxillary sinuses between the two asthma types. 2. Nasal mucosal thickening was not significant different between subjects with steroid-dependent intractable asthma (SDIA) and those without SDIA. Maxillary mucosal lesions were more extensive in subjects with SDIA than in those without SOIA. However, no significant differences were observed in occupancy rate between the two types. 3. No significant differences were observed in nasal mucosal thickenings between in subjects with and without aspirin-induced asthma (AlA). Although maxillary mucosa lesion in subjects with AlA was more extensive than that in those without AlA, the differences was not significant. 4. There was not any correlation between nasal mucosal thickening and amount of expectoration per day. However, significant differences were observed in maxillary sinus lesion between subjects with less amount (<50mℓ/day) and those with large amount of expectoration (100mℓ/day≦)(p<0.002), and between subjects with moderate amount (50-99mℓ/ day) and those with large amount of expectoration (p<0.002). The results might suggest that in asthmatics with large amount of expectoration, sinus diseases affect pathophysiology of asthma, and asthmatics with large amount of expectoration should have therapy for sinus disease to improve asthmatic status.
Keywords
bronchial asthma
sinusitis
nasal disease
CT scan
expectoration
ISSN
0918-7839
NCID
AN10430852
NAID