Friedman W H, Katsantonis G P
Park Central Institute, St. Louis, Missouri 63139.
Ear Nose Throat J. 1994 Jul;73(7):480-4.
A four-stage system is proposed for the classification of chronic hyperplastic rhinosinusitis. The system is comprehensive, simple to use, and has demonstrated extreme clinical usefulness. There is a linear correlation between recurrence rates and stage of disease. The system has virtually mandated treatment strategies for chronic sinusitis. Stage I disease is considered primarily medical, while Stages II, III and IV are surgical. The author's long-standing study is in agreement with Kennedy, Mackey and Lund in their view that radiographic assessment of extent of disease is the major determinant for staging and prognosis. This study, which began in 1988 and has been reported progressively since that time, has proven both useful and accurate for physicians using it, and more importantly has been a boon in explaining to patients the prognosis, needed treatment strategies, and potential outcomes in the treatment of their chronic sinusitis.
本文提出了一种用于慢性增生性鼻窦炎分类的四阶段系统。该系统全面、易用，已证明具有极高的临床实用性。复发率与疾病阶段之间存在线性相关性。该系统实际上规定了慢性鼻窦炎的治疗策略。I期疾病主要采用药物治疗，而II、III和IV期则采用手术治疗。作者长期的研究与肯尼迪、麦基和伦德的观点一致，即疾病范围的影像学评估是分期和预后的主要决定因素。这项始于1988年并自那时起逐步报告的研究，已证明对使用它的医生既有用又准确，更重要的是，在向患者解释其慢性鼻窦炎的预后、所需治疗策略和潜在治疗结果方面是一大福音。
