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儿童腺样体肥大A/N比率测定的临床价值 被引量:14

Clinical value of A/N ratio in children's adenoid hypertrophy
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摘要 目的利用鼻咽侧位片测量儿童腺样体—鼻咽腔比率(A/N比率)来判定儿童腺样体肥大的标准。方法随机选择有打鼾、鼻塞、张口呼吸及分泌性中耳炎患儿140例,于治疗前行A/N比率测定。结果A/N比率≤0.70的患儿经保守治疗症状显著改善,而A/N比率≥0.71的患儿大部分需行腺样体刮除术。结论摄鼻咽侧位片测定A/N比率是诊断腺样体肥大的简便实用且准确的检查方法。A/N比率≤0.60属正常,0.61~0.70为中度肥大,≥0.71为病理性肥大。 [Objective] To evaluate the clinical usefulness of adenoidal hypertrophy on measuring adenoid-nasopharynx ratio(A/N ratio) of nasophyryngeal lateral plain film. [Methods] 140 clinical cases including snorers, opening mouth's respiration,secretory tympanitis were selected to measure the A/N ratio before treatment. [Results] Patients' symptoms, whose A/N ratio ≤0.70, were improved distinctly after conservative treatment, but most of patients with A/N ratio ≥ 0.71 required adenoidectomy. [Conclusion] The A/N ratio of nasopharyngeal lateral plain ftlm is a convenient, practical and correct examination for adenoid hypertrophy. The A/N ratio ≤0.60 is considered normal, from 0.60 to 0.70 belongs to mid-grade hypertrophy, and ≥0.71 suggests of pathological hypertrophy.
作者 池书平
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2006年第14期2209-2211,共3页 China Journal of Modern Medicine
关键词 腺样体 鼻咽腔 A/N比率 腺样体刮除术 adenoid nasopharynx A/N ratio adenoideetomy
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