CT of the paranasal sinuses is not a valid indicator for sinus surgery in CF patients
CT of the paranasal sinuses is not a valid indicator for sinus surgery in CF patients
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DOI：
10.1016/j.jcf.2011.09.009
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发表时间：
2012-03-01
影响因子：
5.2
通讯作者：
von Buchwald, Christian
中科院分区：
文献类型：
--
作者：
Rasmussen, Jacob;Aanaes, Kasper;von Buchwald, Christian
背景资料：没有指南包括囊性纤维化（CF）患者何时或在多大程度上应该进行鼻窦手术，或者鼻窦CT扫描如何影响决定。鼻窦炎的症状和/或根除致病菌的鼻窦surgery.Methods的原因：在这一观察性横断面研究，55 CF的情况下，他们的术前CT扫描评分根据隆德麦凯和奈尔系统。CT扫描，症状，手术所见和鼻窦手术中获得的文化之间的相关性。CT评分及脓液、病原菌或症状的检测。CT扫描发现数例无窦腔混浊的患者有脓液和致病菌。非致病性和无菌的文化也发现在鼻窦opacification.Conclusions：CT扫描是不是一个有效的标准，鼻窦手术CF患者。(C)2011年欧洲囊性纤维化协会。Elsevier B. V.出版，保留所有权利。
Background: No guidelines comprise when or to what extent sinus surgery should be done in patients with cystic fibrosis (CF) or how a CT scan of the paranasal sinuses should influence the decision. Symptoms of rhinosinusitis and/or eradication of pathogenic bacteria from the sinuses are reasons for sinus surgery.Methods: In this observational cross sectional study, 55 CF cases had their preoperative CT scans scored according to the Lund Mackay- and the Nair-system. Correlations between the CT scans, symptoms, surgical findings and cultures obtained during sinus surgery were made.Results: There was no significant correlation between the. CT score and detection of pus, pathogenic bacteria Or symptoms. Pus and pathogenic bacteria were found in several cases without sinus opacification on the CT scan. Non pathogenic and sterile cultures were also found in sinuses with opacification.Conclusions: A CT scan is not a valid criterion for sinus surgery in CF patients. (C) 2011 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.