儿童慢性鼻及鼻窦炎临床特征分析  

Analysis the clinic characteristic of pediatric chronic rhinosinusitis

作　　者：夏忠芳[1] 王智楠[1] 徐忠强[1] 崔珑[1] 李栋[1] 徐恩明[1] 魏翠芬[1] 刘艳[1] 黄芳[1] 

机构地区：[1]武汉市儿童医院耳鼻咽喉科,湖北武汉430016

出　　处：《中国耳鼻咽喉头颈外科》2013年第4期186-188,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：湖北省自然科学基金项目(2008CDZ059);武汉市卫生局科技基金项目(WX09A06)联合资助

摘　　要：目的分析儿童慢性鼻及鼻窦炎(chronic rhinosinusitis,CRS)的临床特征。方法对2008年1月～2011年12月门诊及病房530例符合标准的有完整资料的CRS患儿,分析其症状、体征、鼻窦CT等临床资料,采取规范的阶梯治疗方案:第一阶段药物保守治疗,第二阶段切除腺样体和(或)扁桃体,第三阶段治疗经鼻内镜功能性鼻窦微创手术,统计疗效。结果打鼾及慢性咳嗽是儿童CRS的主要伴随症状;伴有后鼻滴涕;CT常表现为鼻窦腔内混浊,或鼻窦内正常。规范的阶梯治疗方案均有效,总有效率为77.9%。结论儿童CRS在临床上有其特征性,采取规范的阶梯方案对治疗儿童CRS疗效肯定。OBJECTIVE To analyze the clinic characteristic of pediatric chronic rhinosinusitis （CRS） . METHODS 530 children with CRS were selected in the study. All patients were assessed including symptoms, physical signs and CT scan before starting treatment, and then managed with de-escalation treatment protocols. First stage was dealt with medical treatment. Second stage was underwent adenoidectomy or （and） tonsillectomy. Third stage was managed by endoscopic sinus surgery. RESULTS Snoring and chronic cough were the main symptoms accompanied with pediatric CRS; sometimes with postnasal drip.CT scan always showed either muddy or normal in all paranasal sinuses. Formalized de-escalation treatment was effective for all cases, the effective rate was 77.9%. CONCLUSION Pediatric CRS had their own clinic characteristic, and the de-escalation treatment protocols were proved to be efficient and safe.

关 键 词：儿童 鼻窦炎 临床方案 规范 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]