摘要
目的对慢性鼻窦炎患者的“鼻涕倒流”、“咳嗽”症状和术前鼻窦CT进行分析,评价它们之间的相互关系。方法对2005年3月至2005年6月间因慢性鼻窦炎拟行鼻内镜手术的63例患者术前及术后6个月症状做SNOT-20(Sino-Nasal Outcome Test 20)量表评估,并对其术前CT冠状位骨窗进行Lund-Mackey评分,比较不同的CT评分与SNOT-20量表中“鼻涕倒流”、“咳嗽”症状评分之间的异同,研究症状评分与CT评分之间的关系。结果术前“鼻涕倒流”症状的SNOT-20量表评分与后组鼻窦CT的Lund-Mackey评分之间的Pearson相关系数r为0．714(P<0．01),与前组鼻窦CT的Lund-Mackey评分之间的Pearson相关系数r为0．173 (P>0．05);“咳嗽”症状的SNOT-20量表评分与后组鼻窦和前组鼻窦CT的Lund-Mackey评分之间Pearson相关系数分别为0．213(P>0．05)和0．097(P>0．05)。结论“鼻涕倒流”症状与后组鼻窦病变有关。
OBJECTIVE To study the relationship between postnasal discharge,cough and preoperative sinus CT scan. METHODS Sixty-three patients with chronic rhinosinusitis had been selected,who were undergone endoscopic sinus surgery from March to June,2005. The patients＇ symptom were evaluated through Sino-Nasal Outcome Test 20（SNOT- 20）scale preoperatively and 6 months after the surgery, meanwhile sinus coronal CT were evaluated by Lund-Mackey system preoperatively. The score of CT scan were compared with the symptom score of postnasal discharge and cough.RESULTS The Pearson correlation ratio of the preoperative SNOT-20 scale scores of postnasal discharge to Lund-Mackey score of postsinus and frontsinus coronal CT scan is 0.714（P〈0.01 ）and 0.173（P〉0.05）respectively .The Pearson correlation ratio of preoperative SNOT-20 SNOT-20 scale score of cough to Lund-Mackey score of postsinus and frontsinus coronal CT scan is 0.213（P〉0.05）and 0.097（P〉0.05）respectively. CONCLUSION The symptom of postnasal discharge correlate to postsinus diseases.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2006年第10期713-715,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
