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作者提出慢性增生性鼻窦炎(CHRS),用CT鼻窦扫描的临床分期,对病变治疗方式选择,规范化评价疗效和预后的估计。CHRS经药物或简单手术治疗无效者100例作CT检查,并行临床治疗和6~18月随访,提出CT鼻窦临床分期(T):T_1者16例,仅单一鼻窦病变;T_2者31例,多窦病变,对保守治疗有效;T_3者33例,广泛性病变,对药物部分有效果;T_4者20例,病变广泛且伴骨质改变,对保守治疗效果差。各期病变采用治疗方式及例数:
The authors propose the chronic proliferative rhinosinusitis (CHRS), the clinical stage of CT sinus scan, the choice of pathological treatment, standardized assessment of the efficacy and prognosis. CHRS by drug or simple surgical treatment of ineffective 100 patients for CT examination, clinical treatment and follow-up 6 to 18 months, CT staging (T): T_1 in 16 cases, only a single sinus disease; T_2 in 31 cases, and more Sinus lesions, conservative treatment of effective; T_3 were 33 cases, extensive lesions, the drug part of the effect; T_4 were 20 cases, extensive lesions with bone changes, the conservative treatment is poor. Various stages of treatment using the treatment method and the number of cases: