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慢性鼻-鼻窦炎患者计算机断层扫描Lund-Mackay评分与鼻内镜评分的相关性

Correlation of Lund-Mackay Score on Computed Tomography Scan and Nasoendoscopic Score in Chronic Rhinosinusitis.

作者信息

Sudiro Melati, Kuntara Atta, Waldi Debby

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Padjadjaran/ Dr. Hasan Sadikin General Hospital, Bandung.

Department of Radiology, Faculty of Medicine, Universitas Padjadjaran/ Dr. Hasan Sadikin General Hospital, Bandung.

出版信息

Acta Inform Med. 2023 Mar;31(1):53-56. doi: 10.5455/aim.2023.31.53-56.

Abstract

BCKGROUND

The diagnosis of chronic rhinosinusitis (CRS) is confirmed by subjectively assessing a patient's complaints and objectively by a computed tomography scan (CT scan) and nasoendoscopic examination. The Lund Mackay (LM) score on paranasal sinus CT scans and the Modified Lund Kennedy (MLK) nasoendoscopic score have more advantages than other scores.

OBJECTIVE

The aim of this study was to determine the correlation between the LM score on paranasal sinus CT scans and the nasoendoscopic MLK score in patients with CRS at Dr. Hasan Sadikin General Hospital Bandung.

METHODS

This is a cross-sectional analytical observational study conducted on 70 adult CRS patients with nasoendoscopy and paranasal sinus CT scans at Dr. Hasan Sadikin General Hospital Bandung. The Lund Mackay score and nasoendoscopic MLK score were collected, and the data were analyzed using Spearman's correlation.

RESULTS

In this study, 51.4% were males and 48.6% were females, and most subjects were without polyps (72.9%). This study found a strong positive correlation in subjects with polyps (Spearman's rank correlation coefficient 0.7) in LM score with nasoendoscopic MLK score and a very small correlation in subjects without polyps.

CONCLUSION

There is a significant correlation between Lund Mackay score on paranasal sinus CT scan and nasoendoscopic Modified Lund Kennedy score in CRS patients with polyps in Dr. Hasan Sadikin Bandung General Hospital.

摘要

背景

慢性鼻-鼻窦炎(CRS)的诊断通过主观评估患者的症状,并通过计算机断层扫描(CT扫描)和鼻内镜检查客观确定。鼻窦CT扫描的Lund-Mackay(LM)评分和改良Lund-Kennedy(MLK)鼻内镜评分比其他评分具有更多优势。

目的

本研究旨在确定万隆哈桑·萨迪金综合医院CRS患者鼻窦CT扫描的LM评分与鼻内镜MLK评分之间的相关性。

方法

这是一项横断面分析观察性研究,对万隆哈桑·萨迪金综合医院70例接受鼻内镜检查和鼻窦CT扫描的成年CRS患者进行。收集Lund-Mackay评分和鼻内镜MLK评分,并使用Spearman相关性分析数据。

结果

在本研究中,男性占51.4%,女性占48.6%,大多数受试者无息肉(72.9%)。本研究发现有息肉受试者的LM评分与鼻内镜MLK评分呈强正相关(Spearman等级相关系数0.7),无息肉受试者的相关性非常小。

结论

在万隆哈桑·萨迪金综合医院的CRS息肉患者中,鼻窦CT扫描的Lund-Mackay评分与鼻内镜改良Lund-Kennedy评分之间存在显著相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e90/10082653/1c1174dd51de/AIM-31-53-g001.jpg

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