Jensen C, von Sydow C
Acta Radiol. 1987 Jan-Feb;28(1):31-4.
In order to analyze whether ultrasonography with a reasonable degree of confidence can replace radiography in the diagnosis of sinusitis, 138 patients with clinical signs of sinusitis were examined with both methods. It was found that maxillary sinus fluid was recognized ultrasonographically with a confidence that increased with the amount of fluid, judged from radiographic examinations. In a sub-group of 45 cases, fluid confirmed by maxillary sinus puncture was detected by ultrasonography in 35/45 sinuses (78%) and by radiology in 38/45 sinuses (84%). In patients with radiographically normal maxillary sinuses, the correlation to ultrasound was good. However, mucosal swelling and polyps or cysts observed at radiography were poorly demonstrated by ultrasonography. In addition, the ultrasound method was not reliable for frontal sinus diagnosis. It was concluded that ultrasonography can be recommended in maxillary sinusitis for follow-up of treatment and as a screening method before sinus radiography.
为了分析具有合理可信度的超声检查能否在鼻窦炎诊断中替代X光检查，对138例有鼻窦炎临床症状的患者进行了两种检查。结果发现，从X光检查判断，超声检查能识别上颌窦积液，且随着积液量增加，识别的可信度也增加。在45例的亚组中，上颌窦穿刺证实有积液的鼻窦，超声检查在35/45个鼻窦中检测到积液（78%），X光检查在38/45个鼻窦中检测到积液（84%）。在上颌窦X光检查正常的患者中，与超声检查的相关性良好。然而，X光检查中观察到的黏膜肿胀以及息肉或囊肿，超声检查显示不佳。此外，超声检查方法对额窦诊断不可靠。结论是，超声检查可推荐用于上颌窦炎治疗的随访以及作为鼻窦X光检查前的筛查方法。
