CT联合鼻内镜对真菌性上颌窦炎的诊断价值

Value of computed tomography combined with nasal endoscopy in the diagnosis of fungal maxillary sinusitis

摘要:

目的探讨CT联合鼻内镜检查对真菌性上颌窦炎的诊断价值。方法选取2015年8月~2017年12月我院收治的CT初步诊断为真菌性上颌窦炎的患者184例，再结合鼻内镜检查诊断真菌性上颌窦炎，以术后病理结果为金标准分别计算单纯CT、CT联合鼻内镜诊断真菌性上颌窦炎的准确率，使用SPSS 16.0软件进行统计学分析，比较两者的准确率是否具有统计学差异。结果单纯CT诊断真菌性上颌窦炎的准确率为75.8%，CT联合鼻内镜检查诊断真菌性上颌窦炎的准确率为93.0%，CT联合鼻内镜检查诊断真菌性上颌窦炎的准确率比单纯CT检查高17.2%，两者之间的准确率差异具有统计学意义（P＜0.05）。结论CT对于真菌性上颌窦炎的诊断具有重大价值，CT与鼻内镜联合诊断提高了真菌性上颌窦炎诊断的准确率，对临床诊治具有更大的指导意义。

关键词:上颌窦炎|真菌|体层摄影术|X线计算机|鼻内镜|诊断

Abstract:

ObjectiveTo evaluate the value of computed tomography (CT) combined with nasal endoscopy in the diagnosis of fungal maxillary sinusitis.Methods184 patients with CTdiagnosed fungal maxillary sinusitis from Aug. 2015 to Dec. 2017 received preoperative nasal endoscopy. Taking postoperative pathological result as the golden standard, accuracies of CT and CT combined with nasal endoscopy for the diagnosis were calculated respectively. The difference between their accuracies was compared statistically using SPSS 16.0 software.ResultsThe diagnostic accuracies of fungal maxillary sinusitis by CT and CT combined with nasal endoscopy were 75.8% and 93.0%, respectively. And the difference was statistically significant (P<0.05).ConclusionCT has important value for the diagnosis of fungal maxillary sinusitis. Its diagnostic accuracy can be further improved when combined with nasal endoscopy, which has profound guiding significance for clinical diagnosis and treatment of this disease.

Key words:Maxillary sinusitis|Fungus|Tomography|xray computed|Nasal endoscopy|Diagnosis