2型慢性鼻窦炎临床诊疗意见书  

Position paper on diagnosis and treatment of type 2 chronic rhinosinusitis

作　　者：史剑波[1] 程雷[2] 李华斌 刘争[4] 王成硕[5] 孙悦奇[6] 洪海裕[7] 杨钦泰[8] 左可军[1] 徐睿[1] 曹平平 赖银妍[1] 陈枫虹 张雅娜 许庚[1,11] 张罗 Shi Jianbo;Cheng Lei;Li Huabin;Liu Zheng;Wang Chengshuo;Sun Yueqi;Hong Haiyu;Yang Qintai;Zuo Kejun;Xu Rui;Cao Pingping;Lai Yinyan;Chen Fenghong;Zhang Yana;Xu Geng;Zhang Luo(Otorhinolaryngology Hospital,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Otorhinolaryngology,the First Affiliated Hospital,Nanjing Medical University,Nanjing 210029,China;Department of Otolaryngology,Eye and ENT Hospital of Fudan University,Shanghai 200031,China;Department of Otorhinolaryngology Head and Neck Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Otolaryngology Head and Neck Surgery,Beijing TongRen Hospital,Capital Medical University,Beijing 100730,China;Department of Otorhinolaryngology,the Seventh Afiliated Hospital,Sun Yat-sen University,Shenzhen 518107,China;Department of Otorhinolaryngology Head and Neck Surgery,the Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519020,China;Department of Otorhinolaryngology Head and Neck Surgery,Department of Allergy,the Third Affiliated Hospital,Sun Yat-sen University,Guangzhou 510630,China;Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China;Department of Otorhinolaryngology,the Second Afiliated Hospital,Guangzhou Medical College,Guangzhou 510260,China;Department of Otorhinolaryngology Head and Neck Surgery,Xiamen Humanity Hospital,Xiamen 361009,China)

机构地区：[1]中山大学附属第一医院耳鼻咽喉科医院,广州510080 [2]南京医科大学第一附属医院江苏省人民医院耳鼻咽喉科,南京210029 [3]复旦大学附属眼耳鼻喉科医院耳鼻咽喉科,上海200031 [4]华中科技大学同济医学院附属同济医院耳鼻咽喉头颈外科,武汉430030 [5]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730 [6]中山大学附属第七医院耳鼻咽喉科,深圳518107 [7]中山大学附属第五医院耳鼻咽喉头颈外科,珠海519020 [8]中山大学附属第三医院耳鼻咽喉头颈外科和变态反应/过敏科,广州510630 [9]清华大学附属北京清华长庚医院耳鼻咽喉头颈外科,北京102218 [10]广州医科大学附属第二医院耳鼻咽喉科,广州510260 [11]厦门弘爱医院耳鼻咽喉头颈外科,厦门361009

出　　处：《中华耳鼻咽喉头颈外科杂志》2024年第10期990-1001,共12页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：科技部重点研发计划(2022YFC2504100);广州市番禺区科技计划项目(2021-Z04-004);厦门市医疗卫生指导性项目(3502Z20209071)。

摘　　要：2020年欧洲鼻窦炎和鼻息肉意见书(EPOS-2020)根据免疫病理学发病机制和临床特征,将慢性鼻窦炎(CRS)分成两种类型,即2型慢性鼻窦炎(type 2 CRS,T2-CRS)和非2型慢性鼻窦炎(non-type 2 CRS,nT2-CRS)。这两种类型的CRS在发病机制、临床特点、治疗方法和预后方面有非常大的不同,各家观点差异甚大,特别是T2-CRS,临床通常认为是一种病情不易稳定控制的鼻窦炎,需要长期随访和药物治疗。强化对T2-CRS的理解和认识,对其诊疗规范提出建议,将有助于提高临床医师对T2-CRS的诊疗水平。为此,我们邀请了国内相关专业的部分专家,在《中国慢性鼻窦炎诊断和治疗指南(2018)》[1](CPOS-2018)的基础上,对近期有关T2-CRS研究的相关文献作了系统的收集、研读与分析,特别注重我国鼻科学领域的研究结果,达成了比较适应我国T2-CRS病情特征及临床诊疗实际需求的初步意见,供同道参考。

关 键 词：慢性鼻窦炎 临床诊疗 临床医师 鼻科学 长期随访 免疫病理学 CRS 初步意见 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]