鼻呼吸障碍测定方法的诊断意义

Y. Nosova, Oleg Avrunin, N.O. Shushlyapyna, Ibrahim Yunuss Abdelkhamid, Alofy Bender Aly Salekh
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引用次数: 0

摘要

在鼻呼吸障碍的诊断中,主要的仪器诊断方法是鼻光学内窥镜、鼻和鼻窦x线计算机螺旋(或锥束)断层扫描以及鼻测压术。统计数据包括286名患有鼻呼吸障碍的患者和60名对照组。患者分为不同性质鼻呼吸障碍组和条件正常组(对照组)。检测鼻呼吸障碍的误差概率为0.27(归一化欧氏距离为1.82)。考虑到在判别模型中加入计算机断层扫描数据,在距离为3.19处,诊断误差减小到0.11。当模型中加入鼻测数据时,总归一化欧氏距离增加到3.96,做出诊断决策的概率分别降低到0.05。因此,鼻压测量数据可以通过评估解剖结构对鼻腔空气动力学的影响,用鼻腔结构变化的信息来补充功能测试的结果,并进一步减少在检测鼻腔呼吸障碍时诊断决策错误的可能性。
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Diagnostic significance of methods for determining nasal breathing disorders
In the diagnosis of nasal breathing disorders, the main instrumental diagnostic methods are optical endoscopy of the nose, X-ray computed spiral (or cone-beam) tomography of the nose and paranasal sinuses, as well as rhinomanometry. The statistics included 286 patients with nasal breathing disorders and a control group of 60 people. Patients were divided into two groups - with nasal breathing disorders of different nature and conditional norm (control group). The probability of error in detecting nasal breathing disorders is 0.27 (normalized Euclidean distance 1.82). Taking into account the addition of computed tomography data to the discrimination model, the diagnostic error decreases to 0.11 at a distance of 3.19. When rhinomanometry data are added to the model, the total normalized Euclidean distance increases to 3.96, and the probability of making a diagnostic decision, respectively, decreases to 0.05. Thus, rhinomanometric data make it possible to supplement the results of functional tests with information about changes in the architectonics of the nasal cavity by assessing the effect of anatomical structures on nasal aerodynamics and further reduce the likelihood of errors in diagnostic decisions when detecting disturbances in nasal breathing.
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