Sharp H R, Rowe-Jones J M, Mackay I S
Department of Otorhinolaryngology/Head and Neck Surgery, Charing Cross Hospital, London, UK.
Clin Otolaryngol Allied Sci. 1999 Feb;24(1):39-42. doi: 10.1046/j.1365-2273.1999.00199.x.
We have prospectively analysed the outcome of patients undergoing endoscopic sinus surgery for chronic rhinosinusitis in relation to the Lund and Mackay system of scoring the preoperative computerized tomography scan for extent of disease, and also investigated the possible links of outcome to the presence or absence of systemic respiratory tract conditions which may relate to the pathogenesis of chronic rhinosinusitis. Statistical analysis of the data by chi 2 test, unpaired t-test and logistic regression analysis has shown significant correlation between outcome at 2 years and preoperative computerized tomography scan score, but that the most statistically significant factor determining the success or failure of surgery is the presence of a systemic disease known to predispose to chronic rhinosinusitis.
我们前瞻性地分析了因慢性鼻-鼻窦炎接受鼻内镜鼻窦手术患者的预后情况，该预后与用于评估疾病范围的术前计算机断层扫描的 Lund 和 Mackay 评分系统相关，并且我们还研究了预后与可能与慢性鼻-鼻窦炎发病机制相关的全身性呼吸道疾病的存在与否之间的潜在联系。通过卡方检验、非配对 t 检验和逻辑回归分析对数据进行的统计分析表明，两年后的预后与术前计算机断层扫描评分之间存在显著相关性，但决定手术成败的最具统计学意义的因素是存在已知易患慢性鼻-鼻窦炎的全身性疾病。
