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急性上颌窦炎病程中主观症状与影像学检查结果的比较

Comparison of subjective and radiological findings during the course of acute maxillary sinusitis.

作者信息

Axelsson A, Runze U

出版信息

Ann Otol Rhinol Laryngol. 1983 Jan-Feb;92(1 Pt 1):75-7. doi: 10.1177/000348948309200118.

DOI:10.1177/000348948309200118
PMID:6824285
Abstract

Some of the most common symptoms and signs of acute maxillary sinusitis were graded and compared with the radiological findings during the course of the disease. Four different treatment modes were used in 176 patients. The radiological and the subjective findings did not differ among the groups, which consequently were evaluated as an entity. The radiographic results demonstrated that the healing course during the first 15 treatment days follows an even regression line. The subjective findings show a more marked improvement during the first five days than subsequently, and also a more rapid initial improvement than radiography shows. The cough symptom showed the slowest recovery subjectively and also compared most closely with radiological findings. Patients with sinusitis which did not show an initial healing radiographically also had more marked symptoms the fifth day, and vice versa: patients who showed less than average healing subjectively also showed a slower healing radiographically.

摘要

对急性上颌窦炎的一些最常见症状和体征进行分级,并与疾病过程中的影像学检查结果进行比较。176例患者采用了四种不同的治疗模式。各治疗组之间的影像学检查结果和主观症状并无差异,因此将这些组作为一个整体进行评估。影像学结果显示,在治疗的前15天内,病情的好转过程呈均匀的回归线。主观症状在最初五天比之后改善更明显,而且最初改善速度比影像学检查结果显示的更快。咳嗽症状在主观上恢复最慢,与影像学检查结果的对比也最为紧密。影像学检查最初未显示愈合的鼻窦炎患者在第五天症状也更明显,反之亦然:主观上愈合程度低于平均水平的患者,其影像学愈合速度也较慢。

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