电脑断层扫描在隔膜整形之前是否必要? 与体检和患者投诉的相关性
Mafalda Martins de Sousa1, João Rebelo2, Sónia Martins3
1Otorhinolaryngology, Centro Hospitalar Universitário São João, Porto, PRT.
Cureus
|June 5, 2023
概括
计算机断层扫描 (CT) 并不是一个可靠的工具来评估隔膜偏差在接受隔膜整形的患者. 身体检查和患者的症状是关于鼻腔阻塞的临床决定的关键.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
- 外科评估的外科评估.
背景情况:
- 隔膜整形是鼻腔阻塞的一个常见的外科手术.
- 前鼻镜和鼻腔内镜是标准的诊断工具.
- 计算机断层扫描 (CT) 在评估隔膜偏差方面的实用性仍然不清楚.
研究的目的:
- 为了研究症状和体质/放射学评估之间的相关性,在血栓形成手术患者.
- 为了比较CT检测结果与体检结果,以检测隔膜偏差.
- 评估隔膜偏差对鼻腔阻塞症状的影响.
主要方法:
- 对43名因鼻腔阻塞而接受血栓形成手术的患者进行前性研究.
- 进行了体检 (鼻镜,内镜) 和CT扫描.
- 鼻腔阻塞症状评估 (NOSE) 评分在手术前和后记录下来.
主要成果:
- 在评估隔膜偏差时,体检和CT之间发现了显著的差异.
- CT更好地检测出较小的骨性偏差 (25-50%),而体检发现了较大的软骨性偏差 (>75%).
- 隔膜偏差程度和手术前NOSE得分之间没有观察到相关性,但手术后出现了显著的症状改善.
结论:
- 由于与身体检查的差异以及与症状得分的缺乏关联,CT不建议用于评估隔膜偏差.
- 临床决定对血栓形成手术应优先考虑体检发现和患者报告的症状.
- 患者的投诉和身体评估仍然是管理由于隔膜偏差导致的鼻腔阻塞的基石.
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