慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)是鼻腔及鼻窦黏膜的慢性炎症,包括慢性鼻-鼻窦炎不伴鼻息肉(chronic rhinosinusitis without nasal polyps,CRSsNP)和慢性鼻-鼻窦炎伴鼻息肉(chronic rhinosinusitis with nasal polyps,CRSw...慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)是鼻腔及鼻窦黏膜的慢性炎症,包括慢性鼻-鼻窦炎不伴鼻息肉(chronic rhinosinusitis without nasal polyps,CRSsNP)和慢性鼻-鼻窦炎伴鼻息肉(chronic rhinosinusitis with nasal polyps,CRSwNP)。中医治疗CRS主要包括:辨证论治、专方验方、中成药、针灸、耳穴贴压、中药鼻腔雾化和中药鼻腔冲洗、穴位按摩等;西医治疗主要包括糖皮质激素、抗生素、抗过敏药物、黏液溶解促排剂、手术治疗等。中西医结合治疗是目前治疗CRS的重要手段,但存在以下问题:相关临床文献较少,尚无临床指南,且中医药治疗CRS的作用机制还不明确。今后,需要行多中心、大样本的临床研究,进一步深入探讨中医药治疗CRS的作用机制,为中西医结合治疗CRS提供科学依据。展开更多
<strong>Introduction:</strong> Chronic rhinosinusitis (CRS) is an inflammatory condition affecting the sinonasal mucosa with duration of more than 12 weeks. Multifactorial aetiology contributes to its refr...<strong>Introduction:</strong> Chronic rhinosinusitis (CRS) is an inflammatory condition affecting the sinonasal mucosa with duration of more than 12 weeks. Multifactorial aetiology contributes to its refractoriness. Functional endoscopic sinus surgery (FESS) is the most common surgical technique preferred in CRS not responding to medical management, showing high success rates. However, some failure has been noted, requiring revision FESS. CT (Computed Tomography) is a diagnostic tool for CRS, and aids in improving surgical outcomes. Combined with the Lund-Mackay scoring system, CT can help stage the CRS, predicting the need for revision surgery. <strong>Methods:</strong> In our paper, we aimed to study the relationship between severity of CRS using radiological staging and revision of functional endoscopic sinus surgery, assessing outcome after at least 1 year of follow-up. There was a single centre retrospective study involving 150 patients selected by random sampling, to study the correlation between the severity of chronic rhinosinusitis and revision of functional endoscopic sinus surgery (FESS). The study was conducted in the ENT department of King Hamad University Hospital, Bahrain for a time period of 6 months. Records were scanned and scored using Lund-Mackay system. Lund Mackay score of 10 and above was considered severe. The relation between increased severity with Lund Mackay score on the CT scan and the need for revision sinus surgeries was then determined. <strong>Results and Conclusion:</strong> This study concludes that LMS score in CT scans can be used to predict the outcomes of primary FESS procedure and the need for revision surgery in the management of CRS.展开更多
目的探討慢性鼻-鼻竇炎(chronic rhinosinusitis,CRS)內鏡鼻竇手術前後主觀評估與客觀檢查結果是否一致。方法對36例慢性鼻-鼻竇炎患者行內鏡鼻竇手術,並分別於術前及術後6個月行視覺模擬量表(visual analog scale,VAS)評分與鼻內鏡、鼻...目的探討慢性鼻-鼻竇炎(chronic rhinosinusitis,CRS)內鏡鼻竇手術前後主觀評估與客觀檢查結果是否一致。方法對36例慢性鼻-鼻竇炎患者行內鏡鼻竇手術,並分別於術前及術後6個月行視覺模擬量表(visual analog scale,VAS)評分與鼻內鏡、鼻竇CT檢查評分系統對比,觀察其結果。結果手術前VAS評分與客觀檢查的評分在輕度和重度的分佈上有明顯的差異性;VAS評分中、重度患者手術後分值變化明顯,而輕度無明顯變化;手術後VAS評分與鼻內鏡評分大多相似。結論手術前VAS評分與客觀檢查評分有明顯差異,手術的選擇上需兩者相結合;手術後VAS評與客觀檢查評分無明顯差異,受心理因素影響尤對VAS評分中、重度者術後有較好的評估價值,因其無需特殊設備,具有良好的可行性、實用性,可作為快速簡潔評定慢性鼻-鼻竇炎手術療效方法及術後生存質量的一種方法。展开更多
文摘慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)是鼻腔及鼻窦黏膜的慢性炎症,包括慢性鼻-鼻窦炎不伴鼻息肉(chronic rhinosinusitis without nasal polyps,CRSsNP)和慢性鼻-鼻窦炎伴鼻息肉(chronic rhinosinusitis with nasal polyps,CRSwNP)。中医治疗CRS主要包括:辨证论治、专方验方、中成药、针灸、耳穴贴压、中药鼻腔雾化和中药鼻腔冲洗、穴位按摩等;西医治疗主要包括糖皮质激素、抗生素、抗过敏药物、黏液溶解促排剂、手术治疗等。中西医结合治疗是目前治疗CRS的重要手段,但存在以下问题:相关临床文献较少,尚无临床指南,且中医药治疗CRS的作用机制还不明确。今后,需要行多中心、大样本的临床研究,进一步深入探讨中医药治疗CRS的作用机制,为中西医结合治疗CRS提供科学依据。
文摘<strong>Introduction:</strong> Chronic rhinosinusitis (CRS) is an inflammatory condition affecting the sinonasal mucosa with duration of more than 12 weeks. Multifactorial aetiology contributes to its refractoriness. Functional endoscopic sinus surgery (FESS) is the most common surgical technique preferred in CRS not responding to medical management, showing high success rates. However, some failure has been noted, requiring revision FESS. CT (Computed Tomography) is a diagnostic tool for CRS, and aids in improving surgical outcomes. Combined with the Lund-Mackay scoring system, CT can help stage the CRS, predicting the need for revision surgery. <strong>Methods:</strong> In our paper, we aimed to study the relationship between severity of CRS using radiological staging and revision of functional endoscopic sinus surgery, assessing outcome after at least 1 year of follow-up. There was a single centre retrospective study involving 150 patients selected by random sampling, to study the correlation between the severity of chronic rhinosinusitis and revision of functional endoscopic sinus surgery (FESS). The study was conducted in the ENT department of King Hamad University Hospital, Bahrain for a time period of 6 months. Records were scanned and scored using Lund-Mackay system. Lund Mackay score of 10 and above was considered severe. The relation between increased severity with Lund Mackay score on the CT scan and the need for revision sinus surgeries was then determined. <strong>Results and Conclusion:</strong> This study concludes that LMS score in CT scans can be used to predict the outcomes of primary FESS procedure and the need for revision surgery in the management of CRS.
文摘目的探討慢性鼻-鼻竇炎(chronic rhinosinusitis,CRS)內鏡鼻竇手術前後主觀評估與客觀檢查結果是否一致。方法對36例慢性鼻-鼻竇炎患者行內鏡鼻竇手術,並分別於術前及術後6個月行視覺模擬量表(visual analog scale,VAS)評分與鼻內鏡、鼻竇CT檢查評分系統對比,觀察其結果。結果手術前VAS評分與客觀檢查的評分在輕度和重度的分佈上有明顯的差異性;VAS評分中、重度患者手術後分值變化明顯,而輕度無明顯變化;手術後VAS評分與鼻內鏡評分大多相似。結論手術前VAS評分與客觀檢查評分有明顯差異,手術的選擇上需兩者相結合;手術後VAS評與客觀檢查評分無明顯差異,受心理因素影響尤對VAS評分中、重度者術後有較好的評估價值,因其無需特殊設備,具有良好的可行性、實用性,可作為快速簡潔評定慢性鼻-鼻竇炎手術療效方法及術後生存質量的一種方法。
