Valtonen Olli, Bizaki Argyro, Kivekäs Ilkka, Rautiainen Markus
1 Department of Ear and Oral Diseases, Tampere University Hospital and Department of Otorhinolaryngology, University of Tampere, Tampere, Finland.
Ann Otol Rhinol Laryngol. 2018 Dec;127(12):931-936. doi: 10.1177/0003489418801386. Epub 2018 Sep 22.
: The objective of this study was to ascertain whether the 3-dimensional volumetric measurement method could be used for the evaluation of operative treatment results in patients with chronic rhinosinusitis.
: A total of 61 adult patients with chronic rhinosinusitis were analyzed. Cone-beam computed tomographic images of the paranasal sinuses were examined preoperatively and at 12 months postoperatively. The results were compared using the Sino-Nasal Outcome Test (SNOT-22) and the Lund-Mackay (LM) and Zinreich modified staging systems.
: The mean change in pneumatized volumes in the maxillary sinuses after operative treatment per patient was 2.0 ± 7.5 cm ( P = .146). The median for volumetric change was 0.97 cm (range, -11.6 to 33.6 cm). Both the LM and Zinreich modified LM staging systems showed no change in 32 of 61 patients (53%). The alterations in patients' maxillary sinuses measured using the volumetric measurement method correlated well with changes in Zinreich's modified LM staging (-0.77, P < .01).
: The 3D volumetric method is more sensitive in detecting small alterations in pneumatized volumes of the maxillary sinuses than Zinreich's modified LM staging and LM staging. The method correlates better with Zinreich's modified LM staging than with LM staging.
本研究的目的是确定三维容积测量方法是否可用于评估慢性鼻窦炎患者的手术治疗效果。
共分析了61例成年慢性鼻窦炎患者。术前及术后12个月对鼻窦进行锥形束计算机断层扫描成像检查。使用鼻窦结局测试（SNOT-22）以及Lund-Mackay（LM）和Zinreich改良分期系统对结果进行比较。
每位患者手术治疗后上颌窦气化容积的平均变化为2.0±7.5 cm（P = 0.146）。容积变化的中位数为0.97 cm（范围为-11.6至33.6 cm）。在61例患者中，LM和Zinreich改良LM分期系统均显示32例（53%）无变化。使用容积测量方法测量的患者上颌窦变化与Zinreich改良LM分期的变化相关性良好（-0.77，P < 0.01）。
三维容积法在上颌窦气化容积微小变化的检测方面比Zinreich改良LM分期和LM分期更敏感。该方法与Zinreich改良LM分期的相关性优于与LM分期的相关性。
