Friedman W H, Katsantonis G P, Sivore M, Kay S
Park Central Institute, St. Louis, MO 63139.
Laryngoscope. 1990 Nov;100(11):1161-5. doi: 10.1288/00005537-199011000-00005.
In this study, the computed tomography scans of 100 patients with chronic hyperplastic rhinosinusitis were reviewed to establish a clinical staging system. Fourteen percent of the patients were classified as Stage I (single-focus disease); 36% as Stage II (multifocal disease responsive to conservative therapy); 32% as Stage III (diffuse disease partially responsive to medication); and 16% as Stage IV (diffuse disease associated with bony changes and poorly responsive to conservative treatment). The incidence of recurrent or persistent disease ranged from 13% for Stage II to 30% for Stage IV. Stage I and III patients had 13% and 18% recurrence rates, respectively. Computed tomography staging is shown to be useful in outlining operative strategies and is a reliable prognosticator of the disease process.
在本研究中，回顾了100例慢性增生性鼻窦炎患者的计算机断层扫描，以建立一个临床分期系统。14%的患者被归类为I期（单灶性疾病）；36%为II期（对保守治疗有反应的多灶性疾病）；32%为III期（对药物部分有反应的弥漫性疾病）；16%为IV期（与骨质改变相关且对保守治疗反应不佳的弥漫性疾病）。复发或持续性疾病的发生率从II期的13%到IV期的30%不等。I期和III期患者的复发率分别为13%和18%。计算机断层扫描分期在勾勒手术策略方面显示出有用性，并且是疾病进程的可靠预后指标。
