Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (1): 54-57.doi: 10.6040/j.issn.1673-3770.0.2019.478

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Value of NLR, LMR, and PLR in predicting chronic sinusitis recurrence after endoscopic sinus surgery

XIE Shuhua, YANG Zhumei, LIU Huiru, DONG Jing   

  1. 1. Department of Otorhinolaryngology, Shanghai Yangpu District Kongjiang Hospital, Shanghai 200093, China;
    2. Department of Otorhinolaryngology Head and Neck Surgery, Yangpu Hospital affiliated to Tongji University, Shanghai 200090, China.
  • Published:2020-03-06

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Abstract: Objective To explore the value of the neutrophil to lymphocyte ratio(NLR), lymphocyte to monocyte ratio(LMR), and platelet to lymphocyte ratio(PLR)in predicting the recurrence of chronic sinusitis after endoscopic sinus surgery. Methods Sixty patients with chronic sinusitis treated by endoscopy from March 2016 to March 2018 were selected. All patients were followed up for 6 months and were divided into the postoperative recurrence group(n=21)and non-postoperative recurrence group(n=39)according to whether sinusitis recurred or not. In the same period, 87 people who underwent a health examination at our hospital were selected as the control group(n=87). The NLR, LMR and PLR of all patients were collected and analyzed. The receiver operating characteristic curve(ROC)of the above indicators was drawn. Results The NLR and PLR levels in the chronic rhinosinusitis(CRS)group were higher than those in the control group(p<0.05). The level of LMR in the CRS group was lower than that in the control group (p<0.01). There was no significant difference in NLR, LMR and PLR between the non-postoperative recurrence group and the control group (p>0.05). The levels of NLR and PLR in the postoperative recurrence group were higher than those in the non-postoperative recurrence group (p<0.05). The level of LMR in the postoperative recurrence group was lower than that in the non-postoperative recurrence group (p<0.01). The sensitivity and specificity of NLR were 63.33%(19/30)and 93.33%(28/30), respectively. The sensitivity and specificity of LMR were 72.00%(18/25)and 91.43%(32/35), respectively. The sensitivity and specificity of PLR were 67.86%(19/28)and 93.75%(30/32), respectively. The ROC curves showed that the areas under NLR, LMR and PLR curves were 0.719(0.587-0.851), 0.922(0.853-0.991), and 0.830(0.587-0.851), respectively. Conclusion NLR, LMR and PLR can help to predict chronic sinusitis recurrence after endoscopic sinus surgery.

Key words: Chronic sinusitis, Nasal endoscopy, Recurrence, Neutrophil, Lymphocyte, Platelet

CLC Number: 

  • R765
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