Krouse J H
Department of Otolaryngology, College of Medicine, University of Florida, USA.
Otolaryngol Head Neck Surg. 2000 Oct;123(4):389-92. doi: 10.1067/mhn.2000.109476.
Chronic rhinosinusitis is a common disease associated with significant morbidity. CT has been a poor predictor of the extent of symptoms among these patients. Allergic rhinitis is frequently associated with chronic rhinosinusitis. This study examines CT stage, allergic sensitivity, and sinus-related symptoms.
Forty-eight patients with chronic rhinosinusitis underwent CT scanning and skin end-point titration (SET). They also completed the Rhinosinusitis Disability Index (RSDI), a measure of sinus-related disability.
No association was noted between CT stage and severity of sinus-related symptoms. There was a significant correlation between CT stage and SET mean end point and between SET mean end point and RSDI physical scale score, as well as between significance on the RSDI emotional scale score and overall score.
The degree of allergic disease is a better indicator of symptom severity and impairment in quality of life among patients with chronic rhinosinusitis than CT stage. Careful evaluation and treatment of allergic disease is critical in the treatment of chronic rhinosinusitis.
慢性鼻-鼻窦炎是一种常见疾病，会导致严重的发病率。CT一直以来都难以预测这些患者的症状程度。变应性鼻炎常与慢性鼻-鼻窦炎相关。本研究探讨CT分期、变应性敏感性和鼻窦相关症状。
48例慢性鼻-鼻窦炎患者接受了CT扫描和皮肤终点滴定法（SET）。他们还完成了鼻-鼻窦炎残疾指数（RSDI），这是一种衡量鼻窦相关残疾的指标。
未发现CT分期与鼻窦相关症状严重程度之间存在关联。CT分期与SET平均终点之间、SET平均终点与RSDI身体量表评分之间、以及RSDI情感量表评分的显著性与总分之间存在显著相关性。
对于慢性鼻-鼻窦炎患者，变应性疾病的程度比CT分期更能准确反映症状严重程度和生活质量受损情况。在慢性鼻-鼻窦炎的治疗中，仔细评估和治疗变应性疾病至关重要。
