XÁC ĐỊNH MỐI TƯƠNG QUAN GIỮA THANG ĐIỂM LUND-MACKAY TRÊN CẮT LỚP VI TÍNH XOANG VÀ THANG ĐIỂM LUND-KENNEDY QUA NỘI SOI MŨI TRONG VIÊM XOANG DO NẤM

Abstract

Purposes: The aims of this study to determine the correlation between the Lund-Mackay (LM) scale on sinus computed tomography and the Lund-Kennedy (LK) scale on nasal endoscopy in patients with fungal sinusitis at Hanoi Medical University Hospital. Material and methods: Cross-sectional descriptive study on 70 chronic rhinosinusitis patients examined at Hanoi Medical University Hospital during the period from January 2022 to July 2023. These patients were all nasal endoscopy, sinus computed tomography, then endoscopic sinus surgery and diagnosis confirmed by post-operative fungal testing. The Lund Mackay scale and the nasal endoscopic Lund-Kenedy scale were obtained and the data were analyzed using Spearman's correlation. Results: The average age was 53±11.8, of which men accounted for 27.1% and women accounted for 72.9%. Endoscopic scale assessed according to the LK scale in patients with fungal sinusitis range from 0 to 9 points, with the highest concentration on the 3-4 scores, accounting for 63.4%. The average score was 3.5±1.8. According to the Lund-Mackay scale on CT scan, grade II occurs with the highest rate of 53.3%, followed by grade I at 43.3%, only 2/60 patients with grade III, accounting for 3.3%, there were no patients with grade IV, the average score was 5± 2.46. Endoscopy results according to the Lund-Kennedy scale and CT results according to the Lund-Mackay scale had an average positive linear correlation with r=0.53; p<0.001. Conclusions: There was a moderate positive correlation between the LM scale on CT scan and the LK scale on nasal endoscopy in fungal sinusitis patients at Hanoi Medical University Hospital.