腺样体肥大儿童合并慢性鼻窦炎的临床调查及相关性分析

Clinical investigation and correlation analysis of adenoid hypertrophy with chronic sinusitis in children

目的了解本地区腺样体肥大儿童合并慢性鼻窦炎的发病情况,并分析两者之间的相关性。方法对178例确诊腺样体肥大患儿进行鼻窦CT三围扫描,明确合并慢性鼻窦炎,进行判定,收集相关数据,行统计学分析。结果178例腺样体肥大患儿,男107例,女71例,平均年龄7.3±2.5岁。合并慢性鼻窦炎者60例,占33.71%,二者在平均年龄、发病年龄及病程间比较均无显著性差异(P>0.05)。鼻窦炎CT评分与A/N比值各等级之间比较,差异有统计学意义(r=0.435,P<0.05)。结论腺样体肥大与慢性鼻窦炎CT评分之间有明显相关性,针对腺样体肥大治疗可明显减缓慢性鼻窦炎病情。

OBJECTIVE To investigate the incidence and analyze the correlation of adenoid hypertrophy with chronic sinusitis in children in local region.METHODS CT scan was carried out in 178 children with adenoid hypertrophy for determining whether the children had chronic sinusitis or not.RESULTS Of the 178 children with adenoid hypertrophy,there were 107 boys and 71 girls with the average age of 7.3±2.5 years old.Sixty children combined with chronic sinusitis,accounted for 33.71%.The average age and the course of the disease had no significant difference between the children with and without chronic sinusitis(P>0.05).Sinusitis CT scores had significant difference among the different A/N ratio groups(r=0.435,P<0.05).CONCLUSION Adenoid hypertrophy had correlation with the chronic sinusitis in children.Management of adenoid hypertrophy can relieve the symptoms of chronic sinusitis condition.