Risavi R, Klapan I, Barcan T, Simović S
ORL Department, University Hospital Center Zagreb, Salata 4, Zagreb, 10000, Croatia.
Croat Med J. 1998 Mar;39(1):45-8.
To assess the diagnostic accuracy of ultrasonography in comparison to radiographic and sinusoscopic techniques of maxillary sinuses examinations in acute and chronic sinus inflammations.
Ninety diseased sinuses in 50 patients (32 male and 18 female) were examined radiographically, ultrasonographically, and sinusoscopically. Ultrasonography was performed with Sinuscan 102 Sinusprint with 3.0 MHz transducer frequency, with A-mode curve display and Bulk-display. Radiography was performed in occipitonasofrontal and occipitonasomental projection, and sinusoscopy by local anesthesia using an optic instrument under 0 degrees, 30 degrees, and 70 degrees. Statistical assessment of ultrasonography sensitivity and specificity in relation to radiographic and sinusoscopic techniques was carried out. The data were compared using McNemar's test for paired data.
Negative ultrasonographic agreed with negative radiographic findings in 18 of 20 sinuses. When ultrasonographic findings revealed mucosal thickening, complete filling, polyp or cyst, the agreements with radiographic findings were 24/30, 21/25, and 11/15, respectively. Negative ultrasonography agreed with negative sinusoscopic findings in 17/20 sinuses. When ultrasonographic findings revealed mucosal thickening, complete filling, polyp or cyst of the maxillary sinuses, the agreements with sinusoscopic findings were 26/30, 23/25, and 13/15, respectively. In comparison to radiological findings, the sensitivity of ultrasonography was 0.93 and specificity 0.60, and in comparison to sinusoscopic examination, sensitivity of ultrasonography was 0.93 and specificity 0.74.
Ultrasonography can be used as a diagnostic method in the early diagnosis of sinus diseases. Compared to radiographic and sinusoscopic findings, it shows a high agreement in negative and positive findings, i.e., a high sensitivity and specificity.
评估超声检查在上颌窦急慢性炎症中相对于上颌窦X线检查及鼻窦镜检查的诊断准确性。
对50例患者（32例男性，18例女性）的90个患病鼻窦进行了X线检查、超声检查及鼻窦镜检查。使用频率为3.0MHz的Sinuscan 102 Sinusprint超声仪进行超声检查，采用A型曲线显示和容积显示。X线检查采用枕鼻额位和枕鼻颏位投照，鼻窦镜检查采用局部麻醉，使用0度、30度和70度的光学仪器。对超声检查相对于X线检查及鼻窦镜检查的敏感性和特异性进行了统计学评估。使用配对数据的McNemar检验对数据进行比较。
20个鼻窦中，超声检查阴性与X线检查阴性结果相符的有18个。当超声检查结果显示黏膜增厚、完全充填、息肉或囊肿时，与X线检查结果相符的分别为24/30、21/25和11/15。20个鼻窦中，超声检查阴性与鼻窦镜检查阴性结果相符的有17个。当超声检查结果显示上颌窦黏膜增厚、完全充填、息肉或囊肿时，与鼻窦镜检查结果相符的分别为26/30、23/25和13/15。与X线检查结果相比，超声检查的敏感性为0.93，特异性为0.60；与鼻窦镜检查相比，超声检查的敏感性为0.93，特异性为0.74。
超声检查可作为鼻窦疾病早期诊断的一种诊断方法。与X线检查及鼻窦镜检查结果相比，其在阴性和阳性结果方面具有较高的一致性，即具有较高的敏感性和特异性。
