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鼻中隔角度的意义及其与鼻窦炎症状评分的关联。

Significance of Nasal Septum Angulation and Its Association with Rhinosinusitis Symptom Scores.

作者信息

Lazim Norhafiza Mat, Abdullah Abdul Mokhti, Abdullah Baharudin, Ismail Zul Izhar Mohd

机构信息

Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Hospital Melaka, Jalan Mufti Haji Khalil, Department of Otorhinolaryngology-Head & Neck Surgery, Melaka, Malaysia.

出版信息

Medeni Med J. 2019;34(4):333-339. doi: 10.5222/MMJ.2019.25986. Epub 2019 Dec 26.

DOI:10.5222/MMJ.2019.25986
PMID:32821458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7433723/
Abstract

OBJECTIVE

The aim of the study was to determine the association of angulation of nasal septum with the severity of rhinosinusitis as measured by symptom score and Visual Analog Score (VAS).

METHOD

The study was performed as a cross sectional study conducted at two different centres in Malaysia. Ninety-eight patients who were diagnosed with rhinosinusitis and fulfilled the selection criteria were assessed as for the symptom score and VAS and the measurement of angulation of nasal septum was performed through a coronal view of CT paranasal sinuses in bone window setting at osteomeatal complex level.

RESULTS

The result obtained from one-way ANOVA test revealed a significant association between category of severity of septal angulation and the symptom score of rhinosinusitis (p=0.025). In addition, the result obtained from one-way ANOVA test also revealed a significant association between category of severity of septal angulation and the VAS of rhinosinusitis (p<0.05).

CONCLUSION

Severity of nasal septum angulation may be significantly associated with severity of rhinosinusitis based on symptom score and VAS. These findings could be used in tailored management of patient with rhinosinusitis especially during functional endoscopic sinus surgery.

摘要

目的

本研究旨在确定鼻中隔角度与通过症状评分和视觉模拟评分（VAS）衡量的鼻窦炎严重程度之间的关联。

方法

本研究作为一项横断面研究在马来西亚的两个不同中心进行。对98名被诊断为鼻窦炎且符合入选标准的患者进行症状评分和VAS评估，并通过鼻窦CT冠状位骨窗设置在窦口鼻道复合体水平测量鼻中隔角度。

结果

单因素方差分析测试结果显示，鼻中隔角度严重程度类别与鼻窦炎症状评分之间存在显著关联（p = 0.025）。此外，单因素方差分析测试结果还显示，鼻中隔角度严重程度类别与鼻窦炎VAS之间存在显著关联（p < 0.05）。

结论

基于症状评分和VAS，鼻中隔角度的严重程度可能与鼻窦炎的严重程度显著相关。这些发现可用于鼻窦炎患者的个性化管理，尤其是在功能性鼻内镜鼻窦手术期间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/ccaf98e258fc/MEDJ-34-333-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/bc5e23ece7b3/MEDJ-34-333-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/029f035b192b/MEDJ-34-333-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/690fbfeb5c18/MEDJ-34-333-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/08b34002c37a/MEDJ-34-333-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/ccaf98e258fc/MEDJ-34-333-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/bc5e23ece7b3/MEDJ-34-333-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/029f035b192b/MEDJ-34-333-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/690fbfeb5c18/MEDJ-34-333-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/08b34002c37a/MEDJ-34-333-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b2/7433723/ccaf98e258fc/MEDJ-34-333-f5.jpg

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本文引用的文献

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An epidemiologic study of factors associated with nasal septum deviation by computed tomography scan: a cross sectional study.一项通过计算机断层扫描对鼻中隔偏曲相关因素的流行病学研究：横断面研究
BMC Ear Nose Throat Disord. 2012 Dec 17;12:15. doi: 10.1186/1472-6815-12-15.
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European Position Paper on Rhinosinusitis and Nasal Polyps 2012.《2012年欧洲鼻窦炎和鼻息肉立场文件》
Rhinol Suppl. 2012 Mar;23:3 p preceding table of contents, 1-298.
3
Allergic rhinitis, chronic rhinosinusitis, and symptom severity: a population-based study.
变应性鼻炎、慢性鼻-鼻窦炎及其症状严重程度：一项基于人群的研究。
Int Forum Allergy Rhinol. 2012 Jan-Feb;2(1):51-6. doi: 10.1002/alr.20102. Epub 2011 Nov 8.
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Pathophysiology of chronic rhinosinusitis.慢性鼻-鼻窦炎的病理生理学。
Proc Am Thorac Soc. 2011 Mar;8(1):115-20. doi: 10.1513/pats.201005-036RN.
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A systematic analysis of septal deviation associated with rhinosinusitis.鼻中隔偏曲与鼻窦炎的系统分析。
Laryngoscope. 2010 Aug;120(8):1687-95. doi: 10.1002/lary.20992.
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Perspectives on the etiology of chronic rhinosinusitis.慢性鼻窦炎病因学的观点。
Curr Opin Otolaryngol Head Neck Surg. 2010 Feb;18(1):21-6. doi: 10.1097/MOO.0b013e3283350053.
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The role of septal deviation in adult chronic rhinosinusitis: a study of 500 patients.鼻中隔偏曲在成人慢性鼻-鼻窦炎中的作用：一项对500例患者的研究。
Rhinology. 2004 Sep;42(3):126-30.
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Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology.成人慢性鼻-鼻窦炎：定义、诊断、流行病学及病理生理学
Otolaryngol Head Neck Surg. 2003 Sep;129(3 Suppl):S1-32. doi: 10.1016/s0194-5998(03)01397-4.
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[Influence of naso-sinusal anatomic variants on recurrent, persistent or chronic sinusitis. X-ray computed tomographic evaluation in 112 patients].[鼻窦解剖变异对复发性、持续性或慢性鼻窦炎的影响。112例患者的X线计算机断层扫描评估]
J Radiol. 1997 Sep;78(9):651-7.
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Paraseptal structural changes and chronic sinus disease in relation to the deviated septum.与鼻中隔偏曲相关的鼻中隔旁结构改变和慢性鼻窦疾病。
J Otolaryngol. 1997 Aug;26(4):236-40.