青少年鼻后滴漏综合征与腺样体肥大67例  

Correlation of postnasal drip syndrome with adenoid hypertrophy in adolescents

作　　者：马亚琳[1] 任平治[1] 柴茂文[1] 杜明[1] 

机构地区：[1]山东省滕州市中心人民医院耳鼻咽喉科,滕州277500

出　　处：《中国眼耳鼻喉科杂志》2009年第3期163-164,共2页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨青少年腺样体肥大和鼻后滴漏综合征的相关性。方法回顾分析186例诊断为鼻后滴漏综合征的12～18岁青少年患者的临床资料。单纯腺样体肥大17例(9.14%),鼻窦炎合并腺样体肥大50例(26.88%),单纯鼻窦炎94例(50.54%),其他原因25例(13.44%)。将患者分为腺样体肥大组(A组)67例和对照组(B组)119例,分析腺样体肥大与鼻后滴漏综合征病情轻重的关系,比较两组构成比的差异及保守和手术治疗的疗效。结果A组包括轻度12例、中度23例、重度32例,B组包括轻度52例、中度47例、重度20例,两组构成比差异有统计学意义。A组采取腺样体切除术的鼻后滴漏综合征治愈率为48.88%,未手术治疗者治愈率为9.09%,总有效率分别为86.67%和50.00%,两组差异均有统计学意义(P<0.05)。结论腺样体肥大是青少年鼻后滴漏综合征的重要病因之一,行腺样体切除术有利于提高青少年鼻后滴漏综合征的治愈率。Objective To investigate the correlation of postnasal drip syndrome with adenoid hypertrophy in adolescents. Methods Data of 186 patients with postnasal drip syndrome combined with adenoid hypertrophy in adolescents aged from 12 to 18 years old were analyzed retrospectively. There were 67 cases simply with adenoid hypertrophy （9. 14% ） ,50 cases with adenoid hypertrophy and nasosinusitis （26.88%） ,94 eases simply with nasosinusitis （50. 54% ）, others accounting for 13.44%. All patients were divided into adenoid hypertrophy group （group A） and without adenoid vegetation group（group B）. The relationship between the adenoid hypertrophy and the levels of posterior nasal drop syndrome, the difference of constituent ratio between the two groups and the therapeutic effect between surgery and conversation treatment was analyzed respectively. Results There were significant differences in constituent ratios between group A（ slight in 12 ,moderate in 23 and severe in 32 eases） and group B （slight in 52, moderate in 47 and severe in 20 cases）. The curative rate and the total effective rate in patients accepted adenoidectomy （48.88%, 86.67% ） was significantly higher than that in patients without adenoidectomy （9.09%, 50% ） respectively. Conclu- sions Adenoid hypertrophy was one of the important etiological factors of postnasal drip syndrome. Adenoidectomy was helpful for raising its curative rate.

关 键 词：腺样体切除术 鼻后滴漏综合征 青少年 

分 类 号：R766[医药卫生—耳鼻咽喉科] R765[医药卫生—临床医学]