Lund V J, Kennedy D W
Institute of Laryngology and Otology, University College London, United Kingdom.
Otolaryngol Head Neck Surg. 1997 Sep;117(3 Pt 2):S35-40. doi: 10.1016/S0194-59989770005-6.
Interest in the surgical treatment of chronic rhinosinusitis has increased, primarily because rigid endoscopy and, more particularly, computed tomographic scanning have facilitated the visualization of disease. At the same time it has become both scientifically and financially imperative to audit therapeutic outcome. Consequently, a staging system for nonneoplastic sinus disease is needed. It is clear that any assessment of medical or surgical therapeutic response requires a method of quantifying disease severity that will be widely accepted by practitioners in the field. This acceptance will largely depend on how easy the method is to apply. With computed tomographic scanning it is possible to more accurately determine the extent of the pathologic condition in rhinosinusitis, a disease in which the severity of symptoms and the appearances on nasal endoscopy have a significantly more unpredictable correlation with the extent of disease. One goal of the Task Force on Rhinosinusitis of the American Academy of Otolaryngology-Head and Neck Surgery was to recommend a system for outcomes research that combines quantification with ease of application.
对慢性鼻-鼻窦炎外科治疗的兴趣有所增加，主要是因为硬性鼻内镜检查，尤其是计算机断层扫描有助于疾病的可视化。与此同时，对治疗结果进行评估在科学和经济上都变得势在必行。因此，需要一种非肿瘤性鼻窦疾病的分期系统。显然，任何对药物或手术治疗反应的评估都需要一种量化疾病严重程度的方法，该方法要被该领域的从业者广泛接受。这种接受程度在很大程度上取决于该方法应用起来有多容易。通过计算机断层扫描，可以更准确地确定鼻-鼻窦炎的病理状况范围，在这种疾病中，症状的严重程度与鼻内镜检查表现和疾病范围之间的相关性明显更难以预测。美国耳鼻咽喉-头颈外科学会鼻-鼻窦炎特别工作组的一个目标是推荐一种用于结果研究的系统，该系统将量化与易于应用相结合。
