鼻内镜与CT扫描对慢性鼻窦炎诊断的协同作用

目的探讨鼻内镜与CT扫描对慢性鼻窦炎诊断的协同作用.方法回顾分析164例慢性鼻窦炎患者的临床资料,总结鼻内镜与CT扫描对本病诊断的协同作用.结果164例慢性鼻窦炎中,31例CT扫描窦口鼻道复合体基本正常,但鼻内镜检查却发现窦口鼻道复合体存在黏膜病变.CT漏诊率为18.9%.其中19例行功能性鼻内镜手术,治愈率为89.4%;其余12例行保守治疗,治愈率为33.3%,差异有显著性意义(P＜0.05).结论在慢性鼻窦炎诊断中鼻内镜与CT扫描有着重要的协同作用.鼻内镜对窦口鼻道复合体黏膜病变的诊断具有更优越的价值.

An investigation on the value of diagnostic procedures combined nasal endoscopy with CT scan for chronic sinusitis

Objective To investigate the value of diagnostic procedures combined nasal endoscopy with CT scan for chronic sinusitis. Methods A retrospective study was carried out among 164 patients with chronic sinusitis through summing up their clinical data to evaluate the diagnostic value of endoscopy and CT scan for this lesion. Results Among these cases,31 were seen with mucosal lesion in the ostiomeatal complex (OMC) under endoscope, while they were diagnosed as normal by CT scan with a misdiagnostic rate of 18. 9%. Out of these 31 patients, 19 were treated by ESS with 17 cured (89. 4%)and the other 12 were treated by consecutive therapy only with a curative rate of 33. 3%,there being a significant difference between the curative rates. Conclusions There is a synergetic improving effect on the diagnosis of chronic sinusitis with the procedures combined endoscopy with CT scan. Then,endoscopy is superior in the diagnosis of lesion in OMC to CT scan.