鼻-鼻窦炎的诊断评定方法探讨

由于慢性鼻-鼻窦炎(chronic rhinosinusitis, CRS)的病因学和发病机制等方面的研究结论尚不十分清晰,在诊断定义、分型及选择治疗方案等方面尚存在争议.近年来,国外学者相继组织制定了一系列有关鼻-鼻窦炎诊疗方面的指导性文件.在我国,慢性鼻-鼻窦炎的诊断一直以来是依靠患者的主观感受和影像学评估等方面的客观指标来进行的.但具体的诊断及评判方法一直没有明确的、规范的标准,本文结合大量国内外文献对慢性鼻-鼻窦炎的各种主观、客观评定方法以及生活品质评估方法进行系统的综述.以期对国内的慢性鼻-鼻窦炎的诊断提供帮助.

OF DIAGNOSTIC CRITERIA FOR RHINOSINUSITUS

There are unclear conclusions about diagnosis,staging and choice of clinical therapy for chronic rhinosinusitis(CRS) due to lack of consensus about etiology and pathogenesis.In recent years,some researchers abroad have put forward a series of guidelines for diagnosis and treatment of CRS.In China,doctors usually diagnose CRS based on both subjective judgements and objective imaging.This paper summarizes and analyzes subjective and objective evaluation methods,along with evaluation of life quality,on a large...