内镜检测结果对CRS控制状态和长期结果预测的影响和值
Steven Chun-Kang Liao1,2, Aditi Agarwal1, Junqin Bai1
1Department of Otolaryngology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
International forum of allergy & rhinology
|December 19, 2025
概括
将内镜检测结果添加到基于症状的标准中,可以改善慢性鼻炎 (CRS) 控制的预测. 修改后的隆德-肯尼迪 (MLK) 得分门为3,在预测未来的CRS结果方面显示了中等准确性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 外科手术的结果
背景情况:
- 目前的慢性鼻炎 (CRS) 控制定义 (EPOS 2020) 优先考虑症状和药物治疗,可选的内镜评估.
- 对于CRS控制的内镜检测结果的预测价值尚未确定.
- 将内镜特征纳入CRS控制评估的最佳门仍然是未知的.
研究的目的:
- 调查内镜检测结果在评估慢性鼻炎 (CRS) 控制中的预测作用.
- 为了确定是否添加内镜特征可以改善未来CRS控制状态的预测.
- 在预测CRS结果时确定内镜检测结果的适当值.
主要方法:
- 一项前性队列研究包括188名成年CRS患者进行内镜后鼻手术.
- 记录了患者报告的症状 (SNOT-22),内镜检测结果 (修改的隆德-肯尼迪[MLK]得分) 和药物使用情况.
- 术后6-12个月 (V1) 和18-60个月 (V2) 评估了CRS控制,使用最初没有内镜特征的EPOS 2020标准.
主要成果:
- 总MLK得分与同时进行的CRS控制有中度的关联 (V1 AUC = 0.631,V2 AUC = 0.620).
- 结合一个MLK得分值 (≥3) 与仅基于症状的标准相比,改善了V2控制状态的预测 (AUC = 0.744与0.721).
- 总的MLK得分是一个比单个内镜组件更强的预测指标.
结论:
- 内镜检测结果,特别是具有MLK分数≥3的内镜检测结果,增强了随后慢性鼻炎 (CRS) 控制的预测.
- 这项研究提供了现实世界的证据,支持使用内镜检测结果作为CRS疾病进展的预测指标.
- 内镜评估对于预测长期CRS结果而言是有价值的,超出了基于症状的评估.
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