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首页> 外文期刊>American journal of rhinology >The usefulness of computed tomography scans in cystic fibrosis patients with chronic sinusitis.
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The usefulness of computed tomography scans in cystic fibrosis patients with chronic sinusitis.

机译：计算机断层扫描在慢性鼻窦炎的囊性纤维化患者中的有用性。

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BACKGROUND: This study was performed to evaluate the usefulness of computed tomography (CT) scans of the sinuses in children with cystic fibrosis (CF) as an outcomes measurement for medical and surgically treated chronic rhinosinusitis. METHODS: Patients with CF who had sinus scans performed at the study institution from January 1999 to September 2003 were identified. The scans and any available prior scans were scored according to the Lund-MacKay system. A retrospective chart review determined if hospitalization with i.v. antibiotic therapy or operative intervention had occurred between scans and if the scans showed improvement secondary to the intervention. RESULTS: One hundred thirty-four patients were identified who met inclusion criteria. A total of 290 scans were reviewed, with the average number of CT scans per patient of 2.24 (range, 1-10). The average Lund-MacKay score for scans closest in time to the first sinus surgery was 14.5. (range, 7-24), and for the first postoperative scans, the scorewas 14.7 (8-24). There was no significant difference between the preoperative and postoperative Lund-MacKay score after initial surgery (p = 0.99) or in subsequent scans despite medical or surgical interventions (p = 0.90). CONCLUSION: CT scanning of the sinuses does not appear to be useful in determining outcomes of intervention in CF patients.
机译：背景：这项研究的目的是评估计算机断层扫描（CT）扫描对囊性纤维化（CF）患儿鼻窦的有效性，作为医学和手术治疗的慢性鼻-鼻窦炎的结局指标。方法：确定1999年1月至2003年9月在研究机构进行过鼻窦扫描的CF患者。扫描和任何可用的先前扫描均根据Lund-MacKay系统评分。回顾性图表审查确定了i.v.是否住院。两次扫描之间以及如果扫描显示干预后有改善，则进行抗生素治疗或手术干预。结果：确定了符合入选标准的134名患者。总共检查了290次扫描，每位患者的CT扫描平均数为2.24（范围1-10）。与第一次鼻窦手术最接近的扫描时间，平均Lund-MacKay评分为14.5。 （范围7-24），并且在首次术后扫描时，得分为14.7（8-24）。初次手术后（p = 0.99）或随后的扫描，尽管有医学或手术干预（p = 0.90），但术前和术后Lund-MacKay评分之间无显着差异。结论：鼻窦的CT扫描对于确定CF患者的干预结果似乎没有帮助。

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