鼻内窥镜在儿童鼻炎鼻窦炎诊断中的价值

Assessment of nasal endoscopy for rhinitis and sinusitis in children

目的：探讨鼻内窥镜检查在诊断儿童鼻炎鼻窦炎及腺样体炎中的价值。方法：对2003年12月至2004年10月有鼻炎鼻窦炎征象的儿童112例行常规耳鼻咽喉科检查，并在局麻下行硬质鼻内窥镜检查，对有感染者行中鼻道分泌物细菌培养。结果：95例（84．8％）成功地施行了鼻内窥镜检查，其中鼻炎鼻窦炎20例，腺样体炎7例，鼻炎鼻窭炎并发腺样体炎26例，2～5岁。鼻炎鼻窦炎患儿中，86．8％可培养出致病菌。结论：鼻内窥镜检查儿童鼻腔及鼻、鼻咽部有创伤小，操作简单，效率高等优点，可作为疑为鼻腔及鼻咽部病变的常规检查。

Objective： To explore the role of nasal endoscopy in the diagnosis of rhinosinusitis or adenoiditis in children, Methods： A total of 112 children with possible rhinosinusitis was recruited between December 2003 and Octorber 2004. Besides routine examination, rigid nasal endoscopy was performed in all the children. The secretion in the middle meatus was collected and cultured in patients having infection. Results： Endoscopy was successful in 95 children, 20 of whom was diagnosed as rhinosinusitis, 7 as adenoiditis, and 26 as both. Children with rhinosinusitis or adenoiditis ranged from 2 to 5 years old. About 86.8 % of the patients was found bacteria in their secretion. Conclusion： Nasal endoscopy has advantages of less trauma, easy performation, and efficacy on rhinitis and sinusitis, and it is proposed to be a routine examination for children with suspicious diseases in nasal cavity and nasopharynx.