中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2013年
2期
119-122
,共4页
成雷%黄振校%周兵%黄谦%王成硕%崔顺九%叶婷%孙炎
成雷%黃振校%週兵%黃謙%王成碩%崔順九%葉婷%孫炎
성뢰%황진교%주병%황겸%왕성석%최순구%협정%손염
鼻窦炎%骨炎%体层摄影术,X线计算机%疾病严重程度指数
鼻竇炎%骨炎%體層攝影術,X線計算機%疾病嚴重程度指數
비두염%골염%체층섭영술,X선계산궤%질병엄중정도지수
Sinusitis%Osteitis%Tomography,X-ray computed%Severity of illness index
目的 探讨整体骨炎评分系统(global osteitis score system,GOSS)在慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)中的临床应用及骨炎评估在临床中的意义.方法 选择334例准备行内镜鼻窦手术(endoscopy sinus surgery,ESS)的CRS患者,利用PHILIPS MxLiteView软件分析术前鼻窦CT,测量鼻窦骨质CT值、厚度、骨炎范围,并使用GOSS进行评分和分级,同时采用SPSS 16.0软件分析GOSS与Lund-Mackay评分、Lund-Kennedy评分之间的相关性.结果 CRS患者骨炎的发生率是53.9％(180/334例),其中2级以上有意义骨炎的发生率为33.8％(113/334例),骨炎平均((x)±s)得分(7.51 ±7.27)分.上颌窦和前组筛窦的骨炎发生率最高,其中左侧前组筛窦为37.2％；右侧前组筛窦为32.8％；左侧上颌窦为46.1％；右侧上颌窦为42.2％.直线相关分析显示,GOSS评分与Lund-Mackay评分和Lund-Kennedy评分分别呈正相关趋势(r值分别为0.497、0.409,P值均＜0.001).结论 GOSS可以利用CT定义和评估CRS骨炎的严重程度,GOSS评分能够反映CRS的疾病严重程度.
目的 探討整體骨炎評分繫統(global osteitis score system,GOSS)在慢性鼻-鼻竇炎(chronic rhinosinusitis,CRS)中的臨床應用及骨炎評估在臨床中的意義.方法 選擇334例準備行內鏡鼻竇手術(endoscopy sinus surgery,ESS)的CRS患者,利用PHILIPS MxLiteView軟件分析術前鼻竇CT,測量鼻竇骨質CT值、厚度、骨炎範圍,併使用GOSS進行評分和分級,同時採用SPSS 16.0軟件分析GOSS與Lund-Mackay評分、Lund-Kennedy評分之間的相關性.結果 CRS患者骨炎的髮生率是53.9％(180/334例),其中2級以上有意義骨炎的髮生率為33.8％(113/334例),骨炎平均((x)±s)得分(7.51 ±7.27)分.上頜竇和前組篩竇的骨炎髮生率最高,其中左側前組篩竇為37.2％；右側前組篩竇為32.8％；左側上頜竇為46.1％；右側上頜竇為42.2％.直線相關分析顯示,GOSS評分與Lund-Mackay評分和Lund-Kennedy評分分彆呈正相關趨勢(r值分彆為0.497、0.409,P值均＜0.001).結論 GOSS可以利用CT定義和評估CRS骨炎的嚴重程度,GOSS評分能夠反映CRS的疾病嚴重程度.
목적 탐토정체골염평분계통(global osteitis score system,GOSS)재만성비-비두염(chronic rhinosinusitis,CRS)중적림상응용급골염평고재림상중적의의.방법 선택334례준비행내경비두수술(endoscopy sinus surgery,ESS)적CRS환자,이용PHILIPS MxLiteView연건분석술전비두CT,측량비두골질CT치、후도、골염범위,병사용GOSS진행평분화분급,동시채용SPSS 16.0연건분석GOSS여Lund-Mackay평분、Lund-Kennedy평분지간적상관성.결과 CRS환자골염적발생솔시53.9％(180/334례),기중2급이상유의의골염적발생솔위33.8％(113/334례),골염평균((x)±s)득분(7.51 ±7.27)분.상합두화전조사두적골염발생솔최고,기중좌측전조사두위37.2％；우측전조사두위32.8％；좌측상합두위46.1％；우측상합두위42.2％.직선상관분석현시,GOSS평분여Lund-Mackay평분화Lund-Kennedy평분분별정정상관추세(r치분별위0.497、0.409,P치균＜0.001).결론 GOSS가이이용CT정의화평고CRS골염적엄중정도,GOSS평분능구반영CRS적질병엄중정도.
Objective To investigate the clinical application of global osteitis score system(GOSS)in patients with chronic rhinosinusitis(CRS).Methods Three hundreds and thirty-four patients with CRS were enrolled prospectively in a large tertiary referral center.The paranasal sinus bone Hounsfield unit (Hu),thickness,scope were measured by PHILIPS MxLiteView software.Nasal endoscopy Lund-Kennedy score was analyzed in all patients.Sinus CT scans of all patients were analyzed for Lund-Mackay score and for osteitis using the GOSS.Association between GOSS and Lund-Mackay,Lund-Kennedy was analyzed by SPSS 16.0 software.Results The incidence of osteitis in patients with CRS was 53.9％(180/334).The incidence of osteitis(more than grade 2)in patients with CRS was 33.8％(113/334).Average GOSS score of osteitis was 7.51 ± 7.27.The highest incidences of osteitis were in the maxillary and anterior ethmoid sinuses.The left anterior ethmoid sinuses was 37.2％.The right anterior ethmoid sinuses was 32.8％.The left maxillary sinuses was 46.1％.The right maxillary sinuses was 42.2％.GOSS score were significantly correlated with Lund-Mackay and Lund-Kennedy scores(r value were 0.497 and 0.409 respectively,all P ＜ 0.001).Conclusion GOSS can define and evaluate the extent and the severity of osteitis in patients with CRS by using CT,and can also reflect the extent and the severity of CRS.
