Sullivan W B, Linehan A T, Hilman B C, Walcott D W, Nandy I
Louisiana State University Medical Center, Shreveport 71130-3932, USA.
Allergy Asthma Proc. 1996 Sep-Oct;17(5):287-92. doi: 10.2500/108854196778662219.
The incidence of nasal polyps in patients with CF in various studies varies from 6.7% to 48%. Fiberoptic rhinoscopy, a safe and minimally invasive diagnostic procedure, has the major advantage over routine physical examination of the nares because of the ability to examine the nose beyond the nasal vestibule. In examinations of both nostrils of 34 patients with CF age 4-30 years, nasal polyps were detected by rhinoscopic examination, but missed by physical examination in 17 (25%) of the nostrils. In 7% (5/64) of the nostrils in this series, rhinoscopy ruled out polyps that were reportedly identified on physician examination. This study confirms that even a careful physical examination of the nose is often inadequate to uncover significant nasal pathology such as nasal polyps.
在各项研究中，囊性纤维化（CF）患者鼻息肉的发病率在6.7%至48%之间。纤维鼻咽喉镜检查是一种安全且微创的诊断方法，相较于常规的前鼻孔体格检查具有显著优势，因为它能够检查鼻前庭以外的鼻腔区域。在对34例年龄在4至30岁的CF患者的双侧鼻孔检查中，通过鼻咽喉镜检查发现了鼻息肉，但在体格检查中，有17个（25%）鼻孔漏诊。在该系列研究中，有7%（5/64）的鼻孔，鼻咽喉镜检查排除了据医生检查发现的息肉。这项研究证实，即使是仔细的鼻部体格检查，往往也不足以发现诸如鼻息肉等明显的鼻腔病变。
