Hayward M W, Lyons K, Ennis W P, Rees J
Department of Radiology, University of Wales College of Medicine, Heath Park, Cardiff.
Clin Radiol. 1990 Mar;41(3):163-4. doi: 10.1016/s0009-9260(05)80959-6.
A prospective study of 100 adult patients undergoing paranasal sinus radiography was performed. Two experienced radiologists independently assessed a single occipitomental view and, at a later date, the traditional three projections, i.e. occipitomental, occipitofrontal and lateral. There was 99% intra-observer agreement between the diagnosis on a single projection compared with all three films. In five cases, the frontal sinuses were difficult to assess mainly due to poor radiography, and in defined circumstances additional views may be required occasionally. We conclude that with greater attention to radiographic technique the occipitomental view alone is sufficient for diagnostic purposes.
对100例接受鼻窦X线摄影的成年患者进行了一项前瞻性研究。两位经验丰富的放射科医生独立评估了一张枕颏位片,随后又评估了传统的三张投照片,即枕颏位、枕额位和侧位片。与所有三张片子相比,单张投照片诊断的观察者内一致性为99%。在5例病例中,主要由于X线摄影质量差,额窦难以评估,在特定情况下偶尔可能需要额外的投照。我们得出结论,只要更加注重摄影技术,仅枕颏位片就足以用于诊断目的。