Liu Y, Yuan F
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Oct 5;32(19):1515-1518. doi: 10.13201/j.issn.1001-1781.2018.19.020.
Chronic rhinosinusitis (CRS) is an inflammatory disease of the nasal airways and paranasal sinuses. The condition is defined by more than 12 weeks of nasal obstruction, nasal discharge, facial pain/pressure, and reduced/lost smell. CRS is commonly further classified into 2 subsets based on its clinical phenotype: those with polyps (CRSwNP) and those without (CRSsNP). The incidence of CRS increases year by year. Due to its persistent, intractable and easy to relapse, CRS seriously affects patient's daily work and life. In addition, CRS also increases the patient's financial burden. However, the etiology and pathogenesis of CRS is complex, which limited the clinical treatment in CRS. This review summarizes the latest advances in inflammatory pathways and biologics therapies of CRS based on the latest research results.
慢性鼻-鼻窦炎(CRS)是一种鼻腔气道和鼻窦的炎症性疾病。该病症的定义为鼻塞、流涕、面部疼痛/压迫感以及嗅觉减退/丧失持续超过12周。CRS通常根据其临床表型进一步分为两个亚组:有鼻息肉的(CRSwNP)和无鼻息肉的(CRSsNP)。CRS的发病率逐年上升。由于其持续性、难治性且易复发,CRS严重影响患者的日常工作和生活。此外,CRS还增加了患者的经济负担。然而,CRS的病因和发病机制复杂,这限制了CRS的临床治疗。本综述基于最新研究成果总结了CRS炎症途径和生物制剂疗法的最新进展。