X线评估儿童OSAHS腺样体切除手术前后疗效研究  

The Study of X-ray Evaluation Therapeutic Effect of OSAHS in Children Perioperatively

作　　者：车子刚[1] 鲁媛媛[2] 嵇洪波 储成凤[1] 史婧[1] 钱波[1] 葛洪[1] 龚单春 孟玮[2] 于振坤[2] 

机构地区：[1]东南大学医学院附属南京同仁医院影像科,江苏南京211102 [2]东南大学医学院附属南京同仁医院耳鼻咽喉-头颈外科,江苏南京211102

出　　处：《中国CT和MRI杂志》2017年第4期42-43,47,共3页Chinese Journal of CT and MRI

基　　金：国家临床重点专科建设项目(2010);江苏省卫生厅医学科研项目(H201444)

摘　　要：目的探讨小儿OSAHS腺样体手术前后的X线对照评价,为临床手术疗效评估提供参考依据。方法确诊儿童OSAHS、均行腺样体切除手术患者11例,分别于术前和术后进行X线摄片,将手术前后数据比较、统计学处理。结果患儿手术前后X线测量结果运用配对检验比较,顶后壁软组织(即腺样体)厚度(A值)、A/N两组数据P<0.05,两者差异有统计学意义。结论 X线测量A值、A/N值可以作为评价手术前后疗效重要参考。Objective To explore Obstructive sleep apnea-hypopnea syndrome （OSAHS） in children variation perioperatively based on X-ray. Methods X-ray manifestations of eleven OSAHS in children with adenoidhypertrophy were retrospectively analyzed in my hospital （2009.1-2015.2）, To observe and measure tapper airway and adenoid, and compare numerical data perioperatively. Results All data have significant difference compare preoperative and postoperative by paring t test： A（thickness of adenoid）, A/N（P 〈0.05）. Conclusion Numerical data of X-ray （as A, A/N） could do objective evaluation of OSAHS in children of adenoidectomy perioperatively, and be collated for clinical application.

关 键 词：儿科学 阻塞性睡眠呼吸暂停低通气综合症 腺样体切除术 体层摄影术 X线计算机 比较研究 

分 类 号：R725.6[医药卫生—儿科] R814.3[医药卫生—临床医学]