Ros S P, Herman B E, Azar-Kia B
Department of Pediatrics, Loyola University Medical Center, Maywood, IL 60153, USA.
Pediatr Radiol. 1995;25(4):306-7. doi: 10.1007/BF02011109.
The purpose of this study was to examine the utility of the Water's view in the diagnosis of acute sinusitis in children. The records of all pediatric (less than 18 years old) patients who underwent sinus radiography for suspected acute sinusitis between February 1991 and November 1992 were reviewed. All radiographs were reviewed by an attending radiologist and the interpretation of the Water's (occipitomental) view alone was compared to that of a three-view (anterior/posterior, lateral, Water's) series. Fifty-two three-view sinus series were obtained on pediatric patients during the study period. Twenty-eight patients were diagnosed with acute sinusitis based on the three-view series. When compared to the three-view series, the single Water's view had a sensitivity of 89%, specificity of 83%, positive predictive value of 87%, and negative predictive value of 87%. The overall accuracy of the Water's view in diagnosing childhood acute sinusitis was 87%. The authors conclude that the Water's view is usually sufficient in the evaluation of suspected acute sinusitis in children.
本研究的目的是探讨华氏位片在儿童急性鼻窦炎诊断中的应用价值。回顾了1991年2月至1992年11月间所有因疑似急性鼻窦炎而接受鼻窦X线摄影的儿科（小于18岁）患者的记录。所有X线片均由一位放射科主治医师进行评估，并将单独的华氏（枕颏）位片解读结果与三联位片（前后位、侧位、华氏位）系列解读结果进行比较。在研究期间，共获得了52例儿科患者的三联位鼻窦片系列。根据三联位片系列，28例患者被诊断为急性鼻窦炎。与三联位片系列相比，单独的华氏位片的敏感度为89%，特异度为83%，阳性预测值为87%，阴性预测值为87%。华氏位片诊断儿童急性鼻窦炎的总体准确率为87%。作者得出结论，华氏位片通常足以用于评估儿童疑似急性鼻窦炎。
