Buljcik-Cupić Maja M, Savović Slobodan N
Klinicki centar Vojvodine, Novi Sad, Klinika za bolesti uva, grla i nosa.
Med Pregl. 2007 Jul-Aug;60(7-8):327-32. doi: 10.2298/mpns0708327b.
Diagnostic nasal endoscopy enables clear visualization of all structures of the middle nasal meatus and of the ostiomeatal complex. It is a primary means for diagnosis of all anatomic variations and other pathogenic factors of the lateral nasal wall, which cannot be diagnosed by using anterior/posterior rhinoscopy. Furthermore, the effects of therapy can be endoscopically controlled and, if necessary, a surgical procedure may be performed. Computed tomography has become the imaging study of choice in the diagnosis and management of sinonasal diseases. It provides detailed information and an unparalleled view of the sinuses, especially the bony anatomy.
The following methods were used in the study: endoscopic examination and CT of the nose and paranasal cavities. Data processing and comparison of diagnostic methods tomography was done using a biostatistical apporach--kappa.
The correlation between computerized tomography and endoscopy of the nose and sixty nasal cavities of examined patients is significantly high. with mean kappa coefficient of k = 0.89, kappa > 0.8.
The diagnosis of rhinosinusitis is generally based on clinical grounds. In 1997, the Task Force of Rhinosinusitis developed the major and minor criteria for diagnosing rhinosinusitis. The presence of two major or one major and two minor symptoms is generally sufficient to make a clinical diagnosis of rhinosinusitis. In order to make a specific diagnosis and provide specific treatment, ednonasal endoscopy is the method of choice. In cases with refractory rhinosinusitis, acute rhinosinusitis with complications, or atypical cases requiring confirmation of sinusitis, use of coronal and axial CT is necessary. This article confirms that diagnostic endoscopy of the nose and paranasal cavities with computer tomography of paranasal cavities represent an ideal combination and a widely recognized standard for diagnosis and treatment of nasal and paranasal cavity disorders in many countries.
诊断性鼻内镜检查能够清晰观察中鼻道和窦口鼻道复合体的所有结构。它是诊断鼻腔外侧壁所有解剖变异和其他致病因素的主要手段，而这些通过前后鼻镜检查无法诊断。此外，可通过内镜控制治疗效果，必要时还可进行手术操作。计算机断层扫描已成为鼻窦疾病诊断和管理的首选影像学检查方法。它能提供详细信息以及鼻窦尤其是骨质解剖结构的无与伦比的视图。
本研究采用以下方法：鼻及鼻窦的内镜检查和CT检查。使用生物统计学方法——kappa对诊断方法（断层扫描）的数据进行处理和比较。
所检查患者的60个鼻腔的鼻CT与鼻内镜检查之间的相关性非常高。平均kappa系数k = 0.89，kappa＞0.8。
鼻窦炎的诊断通常基于临床依据。1997年，鼻窦炎特别工作组制定了诊断鼻窦炎的主要和次要标准。通常，出现两项主要症状或一项主要症状及两项次要症状足以做出鼻窦炎的临床诊断。为了做出具体诊断并提供具体治疗，鼻内镜检查是首选方法。对于难治性鼻窦炎、伴有并发症的急性鼻窦炎或需要确诊鼻窦炎的非典型病例，必须使用冠状位和轴位CT。本文证实，鼻腔鼻窦诊断性内镜检查与鼻窦计算机断层扫描是一种理想组合，在许多国家是鼻腔鼻窦疾病诊断和治疗广泛认可的标准。
