鼻咽侧位片鼻咽气道宽度测定在儿童腺样体肥大中的临床应用

Clinical Application of X-ray Measurement of Nasopharynx Lateral view in Children＇s Adenoid Vegetation

目的探讨鼻咽侧位片鼻咽气道宽度测定在儿童腺样体肥大临床诊断及治疗中的意义。方法收集130例2—16岁因腺样体肥大在我院就诊的患儿，于鼻咽侧位片上测量鼻咽气道宽度最短径，并与临床鼻咽镜下测量进行比较及统计学分析。结果鼻咽侧位片测量与鼻咽镜下测量鼻咽气道宽度在统计学上存在着相当满意的一致性，统计学分析显示鼻咽气道宽度在0—5mm之间为重度肥大，宜采用手术治疗方式；在6～11mm之间中度肥大，可采取非手术方式治疗；≥12mm为轻度肥大，则可视为正常而不予治疗。结论鼻咽侧位片鼻咽气道宽度测定方法简单，测量准确，其测量结果可以为腺样体肥大的临床诊断及指导临床选择合适的治疗方法提供准确依据。

Objective To evaluate the clinical application of x-ray measurement of nasopharynx lateral view in children＇s adenoid vegetation. Methods Collecting 130 children of 2-16 year-old with adenoidal hypertrophy, measure the width of nasopharyngeal airway on Nasopharynx lateral view, and compare with Fiber nasopharyngoscopy. Results There is Consistency in measuring the width of na- sopharyngeal airway between Nasopharynx lateral view and Fiber nasopharyngoscopy. Nasopharyngeal airway width between 0-5mm means severe Adenoid vegetation and surgical treatment should be adopted. Nasopharyngeal airway width between 6-11 mm means moderate Adenoid vegetation and conservative treatment should be Adopted. Nasopharyngeal airway width above 12mm means physiological Adenoid vegetation and does not require treatment. Conchmions X-ray measurement of nasopharynx lateral view is simple, accurate and provide reliable basis for diagnosis and therapy.