慢性鼻窦炎患者影像学技术的比较(x线、MRI、A超)。

R M Katz, S Friedman, M Diament, S C Siegel, G S Rachelefsky, S L Spector, A S Rohr, J Schoettler, A Dorris
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引用次数: 11

摘要

通过病史、体格和实验室检查以及影像学技术(x线、磁共振成像(MRI)和柔性鼻镜)对35例9至67岁的慢性鼻窦炎患者进行评估。核磁共振成像是最具预测性的。对于鼻窦炎的诊断,它比x线平片更敏感。软性鼻镜检查的水肿、红斑和引流表现与慢性鼻窦炎一致,41%的病例经MRI和鼻窦x线检查证实。鼻涂片检测多形核细胞和嗜酸性粒细胞提示慢性鼻窦炎的诊断,但其他实验室检查(CBC、沉降率、定量免疫球蛋白、总IgEs)对慢性鼻窦炎的诊断价值非常有限。
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A comparison of imaging techniques in patients with chronic sinusitis (X-ray, MRI, A-mode ultrasound).

Thirty-five patients age 9 to 67 were evaluated for chronic sinusitis by history, physical and laboratory examination, and imaging techniques (X-ray, magnetic resonance imaging (MRI) and flexible rhinoscopy). MRI was the most predictive. To establish the diagnosis of sinusitis, it was more sensitive than plain X-ray for intrasinus disease. Findings of edema, erythema, and drainage on flexible rhinoscopy were consistent with chronic sinusitis and were confirmed by MRI and sinus X-rays in 41% of the cases. Nasal smears for polymorphonuclear cells and eosinophils were suggestive of a diagnosis of chronic sinusitis, but other laboratory tests (CBC, sedimentation rate, quantitative immunoglobulins, total IgEs) were of very limited value in the diagnosis of chronic sinusitis.

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