Blood Eosinophil Percentage and Improved Sinus CT Score as Diagnostic Tools for ECRS

Autor: Fengzhen Li, Shenglei Wang, Xudong Cha, Tengfei Li, Yingqi Xie, Wenwen Wang, Wenwen Ren, Jianchun Liao, Huanhai Liu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: OTO Open, Vol 8, Iss 1, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2473-974X
DOI: 10.1002/oto2.106
Popis: Abstract Objective Differentiating 2 types of chronic rhinosinusitis with nasal polyps (CRSwNP) is important for the treatment. The current diagnostic methods using single indicators, including peripheral blood eosinophils and traditional sinus computed tomography (CT) scores, are not accurate. In this study, we aimed to investigate the diagnostic value of combining peripheral blood eosinophils and improved sinus CT scores for eosinophic chronic rhinosinusitis (ECRS). Study Design Retrospective cohort. Setting Tertiary medical center. Methods We conducted a study involving 81 patients with CRSwNP. Peripheral blood samples were collected from the non‐ECRS and ECRS groups. Improved three‐dimensional volume image analysis and Lund‐Mackay scoring system were performed to quantify the thickening of sinus mucosa. Multivariate binary logistic regression analysis was carried out to detect the predictive value of the scoring indicators. For significant indexes, receiver operating characteristic (ROC) curve analysis was applied. Results The ECRS group had higher levels of blood eosinophil percentage and count, ethmoid sinus score, total sinus score, the ratio of ethmoid sinus score and maxillary sinus score, and the difference between ethmoid and maxillary score, compared to the non‐ECRS group (P
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