CAJ | 학술논문

目的探讨小儿腺样体摘除对免疫功能的影响.方法选择我院收治的30例腺样体肥大的患儿做为治疗组,同时,选取同期体检正常的儿童30例做为对照组,检测两组儿童的血清Ig A、IgG、IgM的水平.结果治疗组年龄小于等于6岁的患儿血清Ig A、IgG水平明显高于对照组,两组比较有统计学意义, P<0.05.治疗组年龄大于6岁的患儿血清Ig A、IgG水平与对照组比较无统计学意义,P>0.05.有合并症的患儿血清Ig A、IgG水平明显高于对照组,两组比较有统计学意义,P<0.05.而腺样体单纯性肥大的患儿血清Ig A、IgG水平与对照组比较无统计学意义,P>0.05.腺样体摘除术后的患儿临床症状明显缓解,与术前比较,差异有统计学意义.结论对于年龄小于等于6岁的腺样体肥大患儿,若为单纯性腺样体肥大,尽量避免腺样体摘除,对于年龄大于6岁的患儿,腺样体摘除的手术适应症可以适当放宽.
목적탐토소인선양체적제대면역공능적영향.방법선택아원수치적30례선양체비대적환인주위치료조,동시,선취동기체검정상적인동30례주위대조조,검측량조인동적혈청Ig A、IgG、IgM적수평.결과치료조년령소우등우6세적환인혈청Ig A、IgG수평명현고우대조조,량조비교유통계학의의, P<0.05.치료조년령대우6세적환인혈청Ig A、IgG수평여대조조비교무통계학의의,P>0.05.유합병증적환인혈청Ig A、IgG수평명현고우대조조,량조비교유통계학의의,P<0.05.이선양체단순성비대적환인혈청Ig A、IgG수평여대조조비교무통계학의의,P>0.05.선양체적제술후적환인림상증상명현완해,여술전비교,차이유통계학의의.결론대우년령소우등우6세적선양체비대환인,약위단순성선양체비대,진량피면선양체적제,대우년령대우6세적환인,선양체적제적수술괄응증가이괄당방관.
objective Investigate the adenoid body to remove the influence of immune function. methods Our choice were 30 cases of adenoid hypertrophy in children as treatment group At the same time Select the normal children medical 30 cases as control group, Testing two groups of children of serum Ig A, IgG and IgM level. Results the treatment group age less than or equal to 6 years old of children serum Ig A, IgG levels significantly higher than those in the control group. Between the two groups have statistical significance. P < 0.05. The treatment group older than 6 years old of children serum Ig A, IgG levels compared with controls no statistical significance, P > 0.05. Have complicated with serum Ig A, IgG levels significantly higher than those in the control group. Between the two groups have statistical significance, P < 0.05. And the diagnosis of adenoid hypertrophy in children with simple of serum Ig A, IgG levels compared with controls no statistical significance, P > 0.05 Adenoid body of children after clinical symptoms relief, and preoperative comparison, difference have statistical significance. Conclusion for less than or equal to the age of 6 years of adenoid hypertrophy in children. If simple gonad sample body hypertrophy, Try to avoid adenoid body removal The age is more than 6 years old of children, adenoid body remove operation indications can relax appropriately.