儿童颈静脉扩张症临床诊治分析  

Diagnosis and treatment of jugular vein phlebectasia in paediatric patients

作　　者：孙昌志 罗仁忠 李琰 温瑞金 刘文龙 

机构地区：[1]广州市妇女儿童医疗中心耳鼻咽喉科,广东广州510623

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第3期231-233,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨儿童颈静脉扩张症的临床诊断及治疗方法。方法对2005年8月-2013年6月诊治的颈静脉扩张症伴有声嘶的患儿27例进行声嘶治疗,通过主观评分（声嘶VAS评分和颈部隆起程度VAS）及彩色多普勒超声（患儿大声喊叫与平静时颈静脉扩张程度比值,R1/R2）对比治疗前后颈静脉扩张程度的改善情况,并进行统计学分析。结果治疗前声嘶评分（6.37±1.21）分,而治疗后（1.78±1.28）分。治疗前颈部隆起程度评分（7.20±1.03）分,而治疗后为（2.43±1.71）分。治疗前R1/R2为2.54±0.40,而治疗后为1.59±0.19。治疗前后各项指标之间的差异具有统计学意义（P〈0.05）。结论治疗声嘶可以有效治疗儿童颈静脉扩张症,临床上对于儿童颈静脉扩张症的治疗应避免过早手术干预或消极保守观察。Objective To investigate the diagnosis and treatment of paediatric jugular vein phlebectasia. Methods27 cases of paediatric jugular vein phlebectasia（ JVP） accompanied with hoarseness were diagnosed and treated in our department. Subjective assessment（ hoarseness VAS and neck mass VAS） and Doppler ultrasonography（ jugular vein diameter during Valsalva manoeuvre vs jugular vein diameter at rest,R1 / R2） were used for eraluating the improvement of JVP after treatment of hoarseness. Results Before and after treatment,hoarseness VAS scores were 6. 37 ± 1. 21 and 1. 78± 1. 28,neck mass VAS scores were 7. 20 ± 1. 03 and 2. 43 ± 1. 71,and R1 / R2 were 2. 54 ± 0. 40 and 1. 59 ± 0. 19.After treatment,all the parameters were improved significantly（ P〈 0. 05）. Conclusion Treatment of hoarseness can relief JVP in children,which is superior to surgical intervention or simple conservative observation.

关 键 词：颈静脉扩张症 声嘶 儿童 超声 

分 类 号：R654.3[医药卫生—外科学]