儿童腺样体肥大的X线诊断价值探讨

发表时间：2014-05-15 浏览次数：802次

引用：

连树德，赵张平，张远强、儿童腺样体肥大的X线诊断价值探讨、[J].西南军医,2010,12(2):

关键词：

儿童;腺样体肥大;X线诊断

作者：

连树德，赵张平，张远强

作者单位：

617100 四川,盐边县人民医院放射科(连树德、张远强);617067 四川,攀枝花中心医院影像中

出版年份：

2010

期刊页数：

收录者：

知网,万方

摘要：

目的探讨鼻咽部侧位片对小儿腺样体肥大的诊断价值。方法 76例怀疑腺样体肥大患儿均摄鼻咽部侧位片，测量腺样体厚度、鼻咽腔宽度及后气道宽度，并计算腺样体指数A/N，以评估腺样体肥大程度及后气道(PAS)宽度。结果大多数患儿腺样体有不同程度的增厚，13例患儿的A/N≤0.60，26例患儿的A/N在0.61～ 0.70之间，37例患儿的A/N≥0.71，同时PAS≤5mm的19例，最小直径约1.5mm;6～10mm的32例;≥10mm的25例。X线鼻咽部侧位片评估腺样体大小与鼻咽腔阻塞情况与鼻内镜及术中所见具有良好的一致性。结论 X线鼻咽侧位片是诊断腺样体肥大简单、经济的一种重要检查方法。 Objective To discuss the diagnostic value of nasopharyngeal lateral films for pediatric adenoid hypertrophy. Methods 76 suspected cases with adenoid hypertrophy had nasopharyngeal lateral films taken; the thickness of adenoid, the width of nasopharyngeal cavity and that of pharyngeal airway space (PAS) were measured and the adenoid-nasopharynx ratio (A/N ratio) was calculated for the judgment of the degree of adenoid hypertrophy and the width of PAS. Results Most children showed adenoid thickening of different degrees, A/N≤0.60 was found in 13 cases, A/N between 0.61～0.70 in 26 cases and A/N≥0.71 in 37 cases while PAS≤5mm in 19 cases, the shortest diameter was about 1.5mm, PAS between 6mm～10mm in 32 cases and PAS≥10mm in 25 cases; the judgment of adenoid size and nasopharyngeal cavity obstruction based on the nasopharyngeal lateral films was well confirmed by nasal endoscope and the operation. Conclusions It is simple and economic to diagnose adenoid hypertrophy with nasopharyngeal lateral films.

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