临床表现和管理挑战在症状性鼻疾病与正常CT扫描的临床表现和管理挑战
Yan Liu1, Xiaohong Peng2, Xiaopei Yuan1
1Department of Otorhinolaryngology-Head and Neck Surgery, Peking University People's Hospital, Beijing, China.
Ear, nose, & throat journal
|July 10, 2025
概括
患有鼻症状但CT扫描结果为负的患者通常符合偏头痛标准. 他们的症状可能是偏头痛的鼻腔表现,而不是鼻炎,导致治疗不当.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 许多患者出现了鼻腔症状和阴性鼻腔CT扫描结果.
- 这些患者往往不对标准治疗做出反应,需要进一步调查他们的病因.
研究的目的:
- 为了比较CT阴性症状性鼻疾病 (CTN-SSD) 与没有鼻息肉的慢性鼻炎 (CRSsNP).
- 调查CTN-SSD的临床特征和潜在的潜在原因.
主要方法:
- 对53例CTN-SSD病例和132例CRSsNP对照进行了回顾性队列研究.
- 用于症状的视觉模拟尺度,隆德-肯尼迪内镜评分,SNOT-22和隆德-麦凯CT评分.
主要成果:
- CTN-SSD患者更常见的是女性,并且经常满足偏头痛诊断标准 (69.81%).
- CTN-SSD显示后鼻和头痛/面部疼痛的患病率更高,与CRSsNP不同,CRSsNP具有鼻腔阻塞和嗅觉功能障碍.
- 虽然SNOT-22得分相似,但CTN-SSD的听觉/面部和心理子域得分更高.
结论:
- 有负 CT 发现的鼻炎症状可能代表偏头痛的鼻腔表现.
- 这种重叠可能导致误诊和不适当的治疗干预.
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