成人腺样体肥大与咽部疾病的相关性  

The Correlation Between Adult Adenoidal Hypertrophy and Chronic Pharyngitis

作　　者：黎琳[1] 孙晓雷[1] 赵丽颖[1] 徐峰[1] 

机构地区：[1]内蒙古自治区医院耳鼻咽喉科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2009年第1期37-39,共3页Inner Mongolia Medical Journal

摘　　要：目的:探讨成人腺样体肥大增生与咽部淋巴组织慢性炎症的关系,研究其占位对上气道的影响。方法:选择成人慢性咽部炎症142例,采用内镜技术检查,依据有无腺样体肥大分为两组。两组咽后壁、扁桃体定位采样,做细菌培养、药物敏感试验。对腺样体肥大组合并阻塞性睡眠呼吸暂停低通气综合征(Ob-structive sleep apnea hypopnea syndrome,OSAHS)者收集相关数据,进行统计学分析。结果:慢性咽部炎症中成人腺样体存在率为66.20%,成人腺样体肥大占31.69%,幼年有慢性咽部炎症史者占93.33%,细菌培养阳性结果两组差异有统计学意义(P<0.05)。腺样体合并鼾症及OSAHS发病率为60%。结论:本组成人腺样体肥大在慢性咽部炎症中发病率为31.69%,其发病与咽部长期炎症刺激、细菌感染具有相关性。咽淋巴内环微生物种群紊乱,是成人慢性咽部炎症伴腺样体肥大迁延不愈的重要因素。其占位造成的鼻咽狭窄、上气道阻塞是鼾症及OSAHS不可忽视的因素。Objective： To investigate the correlation between adult adenoidal hypertrophy and chronic pharyngitis, study the effects of adult adenoidal hypertrophy on the upper respiratory tract. Methods： 142 cases who were diagnosed with chronic pharyngitis. These cases were divided into two groups depend on it with ade- noidal hypertrophy or not by nasal endoscopic examination. Two groups retropharyngeal take sampling position- ing on tonsillar, bacterial culture, drug sensitivity test. Collecting data from obstructive sleep apnea hypopnea syndrome（OSAHS） and statistical analysis was performed. Results： The presense rate of adult adenoidal in chronic pharyngitis was 66.2 %. Adult adenoidal hypertrophy were present at 31.69 %. Patients once suffered from chronic pharyngitis in child were 93.33 %. The positive results of bacterial culture in group I and group Ⅱ had significantly difference（P〈 0.05）. The incidence rate of adult adenoidal hypertrophy with OSAHS is 60 %. Conclusions： The incidence rate of adult adenoidal hypertrophy in chronic pharyngitis patients was 31.33%. Long time tonsillitis and bacterial infection are related to the occurrence of adult adenoidal hypertrophy. Distur-bance in pharynx lymph are important factors of recurrence adult chronic pharyngitis with adenoidal hypertro- phy, arid its obstruction may be the main factor of OSAHS.

关 键 词：咽炎 成人腺样体肥大 微生物种群 阻塞性睡眠呼吸暂停低通气综合征 

分 类 号：R766.14[医药卫生—耳鼻咽喉科]