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| 慢性鼻-鼻窦炎患者功能性内镜鼻窦手术前后的主客观评估及相关性分析 | |
| 引用本文： | 郭蓓,袁琨,张帆,钟杰. 慢性鼻-鼻窦炎患者功能性内镜鼻窦手术前后的主客观评估及相关性分析[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(8) |
| 作者姓名： | 郭蓓 袁琨 张帆 钟杰 |
| 作者单位： | 武汉市中心医院耳鼻咽喉科,武汉,430014 |
| 摘 要： | 目的:探讨慢性鼻-鼻窦炎(CRS)患者功能性内镜鼻窦手术(FESS)前后的主客观评估及相关性。方法:对70例术前CRS患者进行主观症状调查[视觉模拟量表(VAS)],并进行客观检查及评分(Lund-Kennedy内镜评分系统及Lund-Mackay CT评分系统)。所有患者FESS术后随访1年,进行术后6个月和12个月的VAS评分及Lund-Kennedy内镜评分。分析各评价方法的相关性及比较手术前后的评价得分。结果:术前鼻塞、鼻分泌物和鼻后滴漏、头面部胀痛感较为突出,经FESS后6、12个月症状改善明显;嗅觉减退和全身不适感术后改善不明显。术前VAS评分与Lund-Mackay CT评分之间呈正相关(r=0.866,P<0.01);术前Lund-Kennedy内镜评分与Lund-Mackay CT评分之间呈正相关(r=0.803,P<0.01);术前VAS评分与Lund-Kennedy内镜评分之间呈正相关(r=0.912,P<0.01)。术后6、12个月VAS总分与术后内镜总分呈正相关(6个月r=0.798,12个月r=0.882);术后12个月的VAS评分中鼻塞、鼻分泌物和鼻后滴漏、头面部胀痛感与Lund... |
| 关 键 词： | 鼻窦炎 鼻息肉 功能性鼻内镜鼻窦手术 |
Outcomes and correlation after functional endoscopic sinus surgery in patients with chronic rhinosinusitis |
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| GUO Bei,YUAN Kun,ZHANG Fan,ZHONG Jie. Outcomes and correlation after functional endoscopic sinus surgery in patients with chronic rhinosinusitis[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2010, 24(8) | |
| Authors: | GUO Bei YUAN Kun ZHANG Fan ZHONG Jie |
| Affiliation: | Department of Otorhinolaryngology/a>;Central Hospital of Wuhan/a>;430014/a>;China |
| Abstract: | Objective:To investigate the correlationship between the assessment of subjective and objective in patients with chronic(CRS) rhinosinusitis before and after FESS.Method:Seventy patients with CRS were objectively assessment of VAS and subjectively assessment including the Lund-Kennedy endoscopic scale and Lund-Mackay scale.All patients were followed up 1 year and repeated both the objective and subjective assessment.The correlationships among the different assessments were investigated and the scales of bef... |
| Keywords: | rhinosinusitis nasal polyposis functional endoscopic sinus surgery |
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