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目的:探讨纤维鼻咽镜检查在评价腺样体肥大中的价值。方法:随机选取门诊就诊打鼾患儿130例及无打鼾患儿30例,采用纤维鼻咽镜检查鼻腔及鼻咽部,同时行X线头颅侧位片检查,并记录检查结果。结果:腺样体大小与打鼾程度呈负相关关系(P<0.01),较大的腺样体其持续型打鼾的发生率明显高于间断型和缺如型(均P<0.01);腺样体大小与A/N比率呈正相关关系(P<0.01),较大的腺样体其病理性肥大的发生率明显高于中度肥大和正常大小者(均P<0.01)。结论:纤维鼻咽镜与X线头颅侧位片评价腺样体大小有高度的一致性,应用纤维鼻咽镜检查患儿鼻腔和鼻咽部,在诊断腺样体肥大及选择腺样体切除术时有重要的临床价值。
Objective: To investigate the value of fiber nasopharyngoscopy in the evaluation of adenoid hypertrophy. Methods: Randomly selected 130 outpatients with snoring and 30 children without snoring. Nasal cavity and nasopharynx were examined with fiber nasopharyngoscopy. The X - ray cephalometric examination was performed at the same time and the results were recorded. Results: There was a negative correlation between adenoid size and snoring (P <0.01). The incidence of persistent snoring in the larger adenoid was significantly higher than that in the intermittent and absent type (all P <0.01) There was a positive correlation between body size and A / N ratio (P <0.01). The incidence of pathological hypertrophy in larger adenoid was significantly higher than that in moderate hypertrophy and normal size (all P <0.01). Conclusion: The fiber nasopharyngoscopy and X-ray cephalometric evaluation of the size of the adenoid have a high degree of consistency. Nasal and nasopharyngeal examination of children with nasopharyngeal fibroids in the diagnosis of adenoid hypertrophy and adenotonslectomy Surgery has important clinical value.