腺样体肥大患儿腺体形态与分泌性中耳炎的关系

Relationship between adenoidal morphology and secretory otitis media in children with adenoidal hypertrophy

目的探讨腺样体肥大患儿腺体形态与分泌性中耳炎(SOM)的关系。方法腺样体肥大合并SOM的患儿33例(病例组),单纯腺样体肥大无耳部症状的患儿47例(对照组)。两组患儿术前行鼻咽侧位数字化摄影(DR)检查;观察腺样体形态后将其完整切除,测量腺样体密度。结果病例组各年龄段鼻咽后气道宽度(P值)、腺样体厚度/鼻咽腔宽度(A/N)小于对照组(P均<0.01)。病例组颗粒滤泡型、橘瓣型、平坦型腺样体分别为21、75、例,对照组分别为7、21、19例,两组相比,P<0.01。病例组腺样体密度为(1.542 2±0.139 2)g/cm3,对照组为(1.131 5±0.058 2)g/cm3,两组相比,P<0.01。结论腺样体肥大患儿腺体形态与SOM的关系密切,P值和A/N不但可反映腺样体肥大程度,亦能显示气道阻塞程度,并可作为SOM的诊断依据。

Objective To study the relationship between adenoidal morphology and secretory otitis media（SOM）.Methods 33 children with adenoidal hypertrophy and SOM（case group）,47 children with onlg adenoidal hypertrophy（control group）.The nasopharyngeal lateral digital photography（DR） was taked preoperative in two groups.The adneoids were observed and resected,and it′s density was tested.Results The nasopharyngeal airway width（P value）,adenoid thickness/nasopharyngeal airway width（A/N） in case group was less than that in the control group（all P0.01）.The particles follicular,orange flap-type,flat type adenoids were 21,7,5 cases in case group,7,21,19 cases in control group,the two groups were compared,P0.01.The adenoid density was（1.542 2±0.139 2） g/cm3 in case group,（1.131 5±0.058 2） g/cm3 in control group,the two groups were compared,P0.01.Conclusions There is a close relationship between adenoidal morphology and SOM in children with adenoidal hypertrophy.P value and A/N not only reflect the degree of adenoid hypertrophy,can also show the degree of airway obstruction,can serve as a basis for the diagnosis of SOM.