汉化版SNOT-22量表对后组鼻窦病变术前评估的临床意义

摘要

目的 探讨汉化版鼻腔鼻窦结果测量22条量表(sino-nasal outcome test-22,SNOT-22)对后组鼻窦病变患者术前评估的意义,指导围手术期的治疗.方法 收集后组鼻窦病变患者50例,同期选取健康体检者50例作为对照组.采样汉化版SNOT-22量表对观察组治疗前,治疗后1、3、6、9个月及对照组进行问卷调查.比较对照组及观察组治疗前后汉化版SNOT-22量表总评分、维度评分.分析后组鼻窦病变患者的生存质量(quality of life,QOL)状况、鼻窦CT Jorgensen分期评分与汉化版SNOT-22量表评分之间的相关性.结果 观察组后组鼻窦病变患者的生存质量(QOL)状况明显得到改善,术前鼻窦CT Jorgensen分期评分与汉化版SNOT-22量表评分之间存一定正相关性.结论 汉化版SNOT-22量表能有效评估术前后组鼻窦病变患者的QOL,可为治疗方案的选择提供参考,同时指导围手术期的治疗.%Objective To evaluate the significance of Chinese version of sinonasal outcome test-22 (SNOT-22) in the evaluation of posterior paranasal sinus lesions and to guide the perioperative care.Methods 50 patients with posterior paranasal sinus lesions were included,and 50 healthy ones were chosen as control.The quality of life (QOL) statuses of the controls and those of the patients before operation,one,3,6 and 9 months after treatment were evaluated with Chinese version of SNOT-22.The total scores and scores of each dimension between the controls and the patients before treatment,and those between the patients before and after treatment were compared.The correlations between QOL statuses,Jorgensen CT staging scores and SNOT-22 scores of the patients were analyzed respectively.Results After treatment,the QOL in patients with posterior paranasal sinus lesions got improved significantly.There was a weak positive correlation between the preoperative scores of sinonasal Jorgensen CT staging and the Chinese version of SNOT-22.Conclusion The Chinese version of SNOT-22 can be applied to effectively evaluate the preoperative QOL of patients with posterior paranasal sinus lesions,therefore provide references for treatment options and guide perioperative care.