儿童腺样体术后圆枕增生与变应性鼻炎的关系  

Relationship between torus tubarius hypertrophy after adenoidectomy and allergic rhinitis in children

作　　者：夏云 曹巧 雷盛钦 XIA Yun;CAO Qiao;LEI Shengqin(Department of Otolaryngology Head and Neck Surgery,Jiangxi Children’s Medical Center,Nanchang 330000,China)

机构地区：[1]江西省儿童医学中心耳鼻咽喉头颈外科,江西南昌330000

出　　处：《中国耳鼻咽喉颅底外科杂志》2024年第5期27-30,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨儿童腺样体切除术后圆枕增生与变应性鼻炎的关系。方法对所选患者均进行腺样体切除术(伴或不伴扁桃体切除),并在确诊为变应性鼻炎的患者中随机选取142例患者,设为A组;在经检查后排除变应性鼻炎诊断的患者中随机选取172例患者,设为B组。观察两组患者术中和术后圆枕增生的情况。结果术后3个月复查鼻内镜/电子鼻咽镜时发现圆枕轻度增生的数量明显增多,且增生程度较前两月明显加重,甚至出现重度增生,明显堵塞后鼻孔,发生圆枕增生的例数A组(27例)明显高于B组(18例),经比较差异具有统计学意义(χ^(2)=4.630,P<0.05)。结论变应性鼻炎是引起儿童腺样体术后圆枕增生的主要因素,对指导腺样体术后的进一步治疗有明确意义。Objective To explore the relationship between torus tubarius hypertrophy after adenoidectomy and allergic rhinitis in children.Methods Adenoidectomy(with or without tonsillectomy)was performed in all the selected patients,and 142 patients diagnosed with allergic rhinitis were randomly selected as group A.Among the patients who were excluded from the diagnosis of allergic rhinitis after examination,172 were randomly selected and set as group B.The intraoperative and postoperative torus tubarius hypertrophy was observed in both groups.Results The follow-up of nasal endoscopy/electronic nasopharyngoscope 3 months after surgery revealed that the number of mild hyperplasia of round pillow increased significantly,and the degree of hyperplasia was significantly worse than those in the first 2 months,even showing severe hyperplasia and obvious blockage of the posterior nostrils.The number of cases of round pillow hyperplasia in group A(27 cases)was significantly higher than that in group B(18 cases),and the difference was statistically significant(χ^(2)=4.630,P<0.05).Conclusion Allergic rhinitis is the main factor causing torus tubarius hypertrophy after adenoid surgery in children,which has clear significance in guiding the further treatment after adenoid operation.

关 键 词：变应性鼻炎 腺样体肥大 圆枕增生 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]