| 症状、CT和鼻声反射在慢性鼻窦炎组织重构诊断中的意义 |
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| 引用本文： | 臧洪瑞,王彤,李云川,胡斌,张盛忠,范尔钟,李颖,王鸿.症状、CT和鼻声反射在慢性鼻窦炎组织重构诊断中的意义[J].中国耳鼻咽喉头颈外科,2009,16(7):355-358. |
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| 作者姓名： | 臧洪瑞 王彤 李云川 胡斌 张盛忠 范尔钟 李颖 王鸿 |
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| 作者单位： | 1. 首都医科大学附属北京同仁医院;2. 北京同仁医院耳鼻喉科;3. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科;4. 北京市耳鼻咽喉科研究所基础部;5. 北京市耳鼻咽喉科研究所; |
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| 基金项目： | 北京市科技计划项目(Z0005190041531) |
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| 摘 要： | 目的探讨鼻塞症状、CT扫描Lund-Mackay评分和鼻声反射测量鼻黏膜充血指数与慢性鼻及鼻窦炎(chronic rhinosinusitis,CRS)组织重构程度之间的相关性,探讨三者在CRS组织重构诊断中的意义。方法选取CRS患者43例,应用视觉模拟评分(visual analogous scale,VAS)系统评价鼻塞症状;Lund- Mackay平分系统评价鼻窦CT扫描结果;鼻声反射测量获取鼻黏膜充血指数;钩突黏膜组织标本行鼻黏膜纤维化程度评分。应用统计学方法对其相关性进行分析。结果鼻塞症状严重程度与鼻黏膜纤维化程度之间无明显相关性(r=-0.046,P=0.77);CT评分与黏膜组织纤维化评分之间无相关性(r=0.132,P=0.40);鼻黏膜纤维化程度与鼻黏膜充血指数之间呈负相关(r=-0.348, P=0.022)。结论鼻黏膜充血指数能够反映病变黏膜的组织重构程度,辅助症状与CT检查指导CRS治疗策略。
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| 关 键 词： | 鼻窦炎 鼻塞 体层摄影术，X线计算机 鼻测量，声学 组织重构 |
| 收稿时间： | 2009-03-12 |
Clinical use of nasal obstruction,CT and acoustic rhinometry in diagnosing the remodeling of nasal mucosa in chronic rhinosinusitis |
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| ZANG Hongrui,WANG Tong,LI Yunchuan,HU Bin,ZHANG Shengzhong,FAN Erzhong ,Ministry of Education,Beijing,China, Beijing Institute of Otolaryngology,China.Clinical use of nasal obstruction,CT and acoustic rhinometry in diagnosing the remodeling of nasal mucosa in chronic rhinosinusitis[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2009,16(7):355-358. |
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| Authors: | ZANG Hongrui WANG Tong LI Yunchuan HU Bin ZHANG Shengzhong FAN Erzhong Ministry of Education Beijing China Beijing Institute of Otolaryngology China |
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| Institution: | ZANG Hongrui~1,WANG Tong~1,LI Yunchuan~1,HU Bin~1,ZHANG Shengzhong~(1,2),FAN Erzhong~(1,LI Ying~(1,WANG Hong~(1,2) (1 Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Ministry of Education,Beijing,100730,China,2 Beijing Institute of Otolaryngology,100005,China) |
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| Abstract: | OBJECTIVE To investigate the correlation between nasal obstruction score, Lund-Mackay score,congestion index and tissue remodeling degree of nasal mucosa in patients with chronic rhinosinusitis(CRS) and to study the role of diagnosing remodeling.METHODS Forty-three patients with CRS who underwent endoscopic surgery were studied.Congestion index of nasal mucosa was obtained by acoustic rhinometry.Nasal obstruction score was obtained by visual analogue scale.CT score was obtained by Lund-Mackay.The mucosa spe... |
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| Keywords: | Sinusitis Nasal Obstruction Tomography X-Ray Computed Rhinometry Acoustic remodeling |
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