鼻咽部数字化摄影对儿童腺样体肥大的诊断价值分析  

Analysis of Value of Pharynx Nasalis Digital Photography in Diagnosis of Children with Adenoidal Hypertrophy

作　　者：梁业伟[1] 文加林 LIANG Ye-wei;WEN Jia-lin(Department of Radiology,Kunming First People＇s Hospital,Kunming,Yunnan Province,650011 China)

机构地区：[1]昆明市第一人民医院放射科,云南昆明650011

出　　处：《中外医疗》2018年第9期179-181,共3页China & Foreign Medical Treatment

摘　　要：目的探讨鼻咽部数字化摄影对于儿童腺样体肥大的诊断价值。方法方便选取该院2013年10月—2016年6月收治的怀疑咽后壁腺样体肥大患儿60例,患儿全部行鼻咽部侧位片数字化摄影,测量其腺样体厚度、鼻咽腔宽度及后气道宽度,并计算其腺样体指数(A/N),结合临床资料进行回顾性分析。结果数字化影像测量对儿童腺样体肥大的诊断准确率为100%。大多数患儿腺样体不同程度增厚,8例患儿A/N≤0.60;30例患儿A/N在0.61~0.70之间;22例患儿A/N≥0.71。同时PAS≤5 mm的20例;6~10 mm的33例;≥10 mm的7例。结论鼻咽部侧位片数字化摄影测量结果与临床表现及鼻内镜、手术结果具有较高一致性,是了解儿童腺样体肥大程度的经济适用、安全有效方法,为临床选择治疗方法提供重要参考依据。Objective To study the value of pharynx nasalis digital photography in diagnosis of children with adenoidal hypertrophy. Methods 60 case of children suspected with adenoidal hypertrophy admitted and treated in our hospital from October 2013 to June 2016 were convenient selected and all children used the pharynx nasalis digital photography, and the adenoid thickness, width of pharynx nasalis, posterior airway width were measured, and the A/N was calculated, and reviewed according to the clinical data. Results The accurate rate of pharynx nasalis digital photography in diagnosis of children with adenoidal hypertrophy was 100%, and the adenoid thickened to different degrees, and there were 8 cases whose A/N ≤0.60, 30 cases whose A/N was between 0.61 to 0.70, 22 cases whose A/N ≥0.71, at the same time, there were 20 cases whose PAS ≤5 mm and 33 cases whose PAS was 6 to 10 mm and 7 cases whose PAS ≥10 mm. Conclusion The measurement results and clinical manifestations of pharynx nasalis digital photography is highly consistent with the operation results, which is a safe and effective method of mastering the adenoidal hypertrophy in children, and it can provide important reference for the clinical selection of treatment method.

关 键 词：腺样体肥大 数字化摄影 A/N比值 

分 类 号：R614[医药卫生—麻醉学]