罕少疾病杂志
罕少疾病雜誌
한소질병잡지
JOURNAL OF RARE AND UNCOMMON DISEASES
2014年
3期
21-24
,共4页
喉气道%X线%婴幼儿%急性喉炎
喉氣道%X線%嬰幼兒%急性喉炎
후기도%X선%영유인%급성후염
目的：探讨喉气道数字化X线摄影在诊断婴幼儿急性喉炎中的应用价值。方法收集365例摄取喉部X线摄影的患儿，其中正常组325例，喉炎组41例。测量声门下区咽后椎前软组织厚度及相应气管前后径。对不同年龄组建立正常参考值范围，并将喉炎组测量值与正常值比较。结果正常组不同年龄组男女测量值无差异。正常咽后椎前软组织厚度0-1岁组为11.03±0.77mm，1-2岁组为10.72±0.62mm，2-5岁组为10.14±0.55mm；气管前后径0-1岁组为5.08±0.28mm，1-2岁组为5.20±0.31mm，2-5岁组为5.91±0.92mm，各年龄组两个正常参考值范围均有显著性差异(Welch分别为36.955和50.995，P均为0.000)。各年龄组喉炎患儿均表现为咽后椎前软组织增厚和气管前后径狭窄，与相应的正常组测量值有显著性差异(P均为0.000)。结论喉气道X线测量费用低廉，简单易行，能无创性地、活体评价小儿急性喉炎及临床疗效，对于提高急性气道梗阻患儿抢救成功率、生存率有重大的临床意义。
目的：探討喉氣道數字化X線攝影在診斷嬰幼兒急性喉炎中的應用價值。方法收集365例攝取喉部X線攝影的患兒，其中正常組325例，喉炎組41例。測量聲門下區嚥後椎前軟組織厚度及相應氣管前後徑。對不同年齡組建立正常參攷值範圍，併將喉炎組測量值與正常值比較。結果正常組不同年齡組男女測量值無差異。正常嚥後椎前軟組織厚度0-1歲組為11.03±0.77mm，1-2歲組為10.72±0.62mm，2-5歲組為10.14±0.55mm；氣管前後徑0-1歲組為5.08±0.28mm，1-2歲組為5.20±0.31mm，2-5歲組為5.91±0.92mm，各年齡組兩箇正常參攷值範圍均有顯著性差異(Welch分彆為36.955和50.995，P均為0.000)。各年齡組喉炎患兒均錶現為嚥後椎前軟組織增厚和氣管前後徑狹窄，與相應的正常組測量值有顯著性差異(P均為0.000)。結論喉氣道X線測量費用低廉，簡單易行，能無創性地、活體評價小兒急性喉炎及臨床療效，對于提高急性氣道梗阻患兒搶救成功率、生存率有重大的臨床意義。
목적：탐토후기도수자화X선섭영재진단영유인급성후염중적응용개치。방법수집365례섭취후부X선섭영적환인，기중정상조325례，후염조41례。측량성문하구인후추전연조직후도급상응기관전후경。대불동년령조건립정상삼고치범위，병장후염조측량치여정상치비교。결과정상조불동년령조남녀측량치무차이。정상인후추전연조직후도0-1세조위11.03±0.77mm，1-2세조위10.72±0.62mm，2-5세조위10.14±0.55mm；기관전후경0-1세조위5.08±0.28mm，1-2세조위5.20±0.31mm，2-5세조위5.91±0.92mm，각년령조량개정상삼고치범위균유현저성차이(Welch분별위36.955화50.995，P균위0.000)。각년령조후염환인균표현위인후추전연조직증후화기관전후경협착，여상응적정상조측량치유현저성차이(P균위0.000)。결론후기도X선측량비용저렴，간단역행，능무창성지、활체평개소인급성후염급림상료효，대우제고급성기도경조환인창구성공솔、생존솔유중대적림상의의。
Objectives To investigate the value of larynx airway digital radiography in the diagnose of acute laryngitis. Methods 365 patients underwent radiography were included in this study. The soft tissue width and corresponding trachea diameter were measured in each case. Normal reference range in different age group were set up. Furthermore, the measures in acute laryngitis were compared with normal group. Results There is no significant difference between male and female children. Normal retropharyngeal soft tissue width is 11.03±0.77 mm in 0-1 age,10.72±0.62 mm in 1-2 age,10.14±0.55 mm in 2-5 age, respectively; Normal anteroposterior diagmeter of trachea is 5.08±0.28 mm in 0-1 age,5.20±0.31 mm in 1-2 age,5.91±0.92 mm in 2-5 age, respectively. There is significant difference among different age groups (Welch value is 36.955 and 50.995, P values are 0.000). The radiological sign of acute laryngitis is thickening of retropharyngeal soft tissue and narrowing of trachea diameter (P values are 0.000) Conclusion Larynx X-ray is a cheap, readily available examination in clinical practice. It could diagnosis acute laryngitis and evaluate the treatment. It plays an important role in improving the rescue success rate and survive rate of children acute airway obstruction.
