慢性鼻炎患者的诊断鼻腔内镜和计算机断层扫描之间的相关性:一个横截面研究
Thanh Nam Quan1, Duc Thuan Nghiem, Tram Anh Do
1Department of Otorhinolaryngology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.
Medicine
|November 8, 2025
概括
诊断性鼻腔内镜 (DNE) 与CT扫描有效相关,用于诊断慢性鼻炎 (CRS). DNE显示出高灵敏度和特异性,可能减少在CRS管理中需要CT扫描的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
背景情况:
- 慢性鼻炎 (CRS) 的诊断依赖于症状,鼻腔内镜和CT扫描.
- 目前的CRS诊断协议通常涉及多种成像方式.
研究的目的:
- 评估诊断鼻腔内镜 (DNE) 和计算机断层扫描 (CT) 扫描在被诊断为CRS的患者之间的相关性.
- 为了评估DNE的诊断准确性,与CRS的CT扫描相比.
主要方法:
- 一项涉及52名遵循EPOS 2020指南的CRS患者的横截面研究.
- 所有参与者都接受了DNE,随后进行了CT扫描,结果使用Lund-Kennedy和Lund-Mackay系统进行了评分.
主要成果:
- 与CT扫描相比,DNE显示出高灵敏度 (95.65%) 和特异性 (83.33%).
- 对DNE的正预测值为97.78%,负预测值为71.43%.
结论:
- 诊断性鼻腔内镜 (DNE) 与CT扫描在CRS的诊断和管理中有效相关.
- DNE是CRS的宝贵一线诊断工具,在某些特定情况下可能最大限度地减少CT扫描的需求.
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