鼻阻力测压与纤维鼻咽镜诊断腺样体肥大的对比研究

Comparison between rhinomanometry and fiberoptic nasopharyngoscopy in the diagnosis of adenoid hypertrophy

目的探讨鼻阻力测压在评估儿童腺样体肥大的诊断价值。方法选取2016年7月~2017年5月门诊打鼾患儿60例,采用鼻阻力测压检查鼻阻力,同时行纤维鼻咽镜检查鼻腔及鼻咽部,并记录检查结果。结果 60例儿童行纤维鼻咽镜检查:6例中度阻塞,31例中重度阻塞,23例重度阻塞;中重度及以上阻塞率90%。鼻阻力测压显示6例通气正常,23例轻度阻塞,12例中度阻塞,10例中重度阻塞,9例重度阻塞,中重度及以上阻塞率31.67%,两种方法中重度及以上检出率比较,差异具有统计学意义(P<0.05)。结论鼻阻力测压对儿童腺样体肥大的评估欠准确。纤维鼻咽镜直视下检查患儿鼻腔和鼻咽部,是一种诊断腺样体肥大证的准确、可靠的检查方法。

Objective To investigate the diagnostic value of rhinomanometry for adenoid hypertrophy in children.Methods Sixty pediatric outpatients with snore were enrolled in this study. They all received both rhinomanometry and fiberoptic nasopharyngoscopy from July 2016 to May 2017. The data were recorded and analyzed. Results Fiberoptic nasopharyngoscopy showed moderate obstruction of nasopharyngeal cavity in 6 patients,moderate-severe obstruction in 31,and severe obstruction in 23. The obstruction rate of moderate-severe degree and above was 90%. The rhinomanometry revealed normal result in 6 patients,mild obstruction in 23,moderate obstruction in 12,moderate-severe obstruction in 10 and severe obstruction in 9,and the obstruction rate of moderate-severe degree and above was 31. 67%. The difference in detection rate of moderate-severe and above obstruction between the two methods was statistically significant（P 〈 0.05）.Conclusion In comparison with fiberoptic nasopharyngoscopy,rhinomanometry seems to be less accurate in detecting adenoid hypertrophy in children. Fiberoptic nasopharyngoscopy is an accurate and reliable method in the diagnosis of adenoid hypertrophy in children.