摘要
目的探讨电子鼻咽喉镜在小儿腺样体肥大诊治中的应用。方法对578例具有上气道阻塞症状的患儿(病例组)采用电子鼻咽喉镜检查,分析腺样体增大程度与上气道阻塞的关系及其可行性。结果①本组病例中,411例能主动配合,119例稍有哭闹,仅48例是在协助固定体位下进行。②14例因鼻中隔偏曲导致一侧后鼻孔和鼻咽部无法检查,5例因双侧鼻腔狭窄无法检查,其余559例均可检查。③559例均有不同程度的腺样体增大。④29例在检查中出现鼻黏膜少量出血,未引发其他并发症。结论电子鼻咽喉镜检查适合于小儿,该法直观、准确、安全,是判断小儿腺样体肥大最有效、最直观的检查方法。IV°腺样体是小儿上气道阻塞的主要病因,是手术治疗的适应证。
Objective To explore the clinical application of electron-nasopharyngolaryngoscope in the diagnosis of adenoid hypertrophy in children. Methods 578 children with upper airway obstruction were inspected with alectron-nasopharyngolaryngoscope. The relationship between adenoid hypertrophy and upper airway obstruction was evaluated. Results ① Of all the cases, 411 could cooperate with the inspectors, 119 cried slightly, and only 48 needed assistance of body fixation, ②The inspection could not be finished because of stricture of unilateral choana and nasopharynx caused by deflection of nasal septum in 14 cases, and bilateral rhinostenosis in 5. ③ Adenoid hypertrophy of different degrees was confirmed in 559 children.④ Slight haemorrhage occurred in 29 cases without any other complications during inspection. Conclusion Electmn-nasopharyngolaryngoscopy is suitable for the diagnosis of adenoid hypertrophy in children due to its direct-view, accuracy, arid safety. Adenoid hypertrophy of Ⅳ degree is an independent etiological factor of upper airway obstruction, which is an operation indication in children.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2007年第1期54-57,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
电子鼻咽喉镜
小儿
腺样体肥大
诊治
Electron-nasopharyngolaryngoscopy
Child
Adenoid hypertrophy
Diagnosis
