CAJ | 학술논문

目的探讨耳内镜下鼻-鼻咽检查在小儿腺样体肥大诊治中的应用.方法对412例具有上气道阻塞症状的患儿采用耳内镜进行鼻-鼻咽检查,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 412例中395例完成检查(17例因患儿哭闹,不能配合检查). 395例单纯诊断性检查:腺样体肥大358例,后鼻孔息肉14例,过敏性鼻炎16例,慢性鼻炎7例.358例腺样体肥大病例中,根据腺样体阻塞后鼻孔的情况分为:Ⅰ级43例(12%),Ⅱ级97例(27%),Ⅲ级103例(28.8%),Ⅳ级115例(32.2%).结论耳内镜鼻-鼻咽检查适合于小儿腺样体肥大检查,该法直观、准确、安全,是判断小儿腺样体肥大有效、直观的检查方法.Ⅳ级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.
목적 탐토이내경하비-비인검사재소인선양체비대진치중적응용.방법 대412례구유상기도조새증상적환인채용이내경진행비-비인검사,분석선양체증대정도여상기도조새적관계급기가행성.결과 412례중395례완성검사(17례인환인곡료,불능배합검사). 395례단순진단성검사:선양체비대358례,후비공식육14례,과민성비염16례,만성비염7례.358례선양체비대병례중,근거선양체조새후비공적정황분위:Ⅰ급43례(12%),Ⅱ급97례(27%),Ⅲ급103례(28.8%),Ⅳ급115례(32.2%).결론이내경비-비인검사괄합우소인선양체비대검사,해법직관、준학、안전,시판단소인선양체비대유효、직관적검사방법.Ⅳ급선양체시소인상기도조새적주요병인,시수술치료적괄응증.
Objective To explore the application of auriscopic nose- nasopharyngeal examina tion in the diagnosis and treatment of adenoid hypertrophy in children. Methods Auriscopic nose-na sopharyngeal examination was performed in 412 children with the symptoms of upper airway obstruction to explore the relationship between the degree of adenoid enlargement and upper airway obstruction. Results The procedure was successfully performed in 395 of 412 children. Of the 395 children, 358 had adenoid hypertrophy, 14 had choanal polyp, 16 has allergic rhinitis, and the remaining 7 had chronic rhinitis. Accord ing to the degree of rear nasal passage blockage, in 358 children with adenoid hypertrophy, 43 (12%) was grade Ⅰ, 97 (27%) was Ⅱ, 103 (28.8%) was Ⅲ, and 115 (32.2%) was Ⅳ. Conclusions Auriscopic nose nasopharyngeal examination is an ideal procedure for nasopharyngeal adenoid hypertrophy in children. It is directly visual, accurate, and safe. Grade Ⅳ adenoids is the main etiology of upper airway obstruction in children, which is the indication of surgical treatment.