儿童腺样体肥大鼻咽部X线侧位片检查参数对预后预测价值

Prognostic Value of Nasopharyngeal X-ray Parameters in Children with Adenoid Hypertrophy

本文探究儿童腺样体肥大鼻咽部X线侧位片检查参数对预后预测价值。选取腺样体肥大患儿146例,均行手术治疗,根据术后3个月预后情况分组。分析术前腺样体厚度与鼻咽腔宽度比值(A/N)、后气道宽度(PAS)与心肌酶谱指标相关性,以及A/N值、PAS对预后的预测价值。术前、术后1个月、术后3个月随肥大程度加重,A/N值呈增加趋势,PAS呈降低趋势(P<0.05);术后1个月A/N值、PAS联合预测预后的AUC值大于其他时间参数单一或联合预测(P<0.05)。腺样体肥大患儿鼻咽部X线侧位片检查参数值与肥大程度、心肌酶谱关系密切,且是预后的主要相关因素,可为临床评价预后、指导完善治疗方案提供参考。

This study explored the predictive value of the parameters of nasopharyngeal X-ray lateral film in children with adenoid hypertrophy.A total of 146 children with adenoid hypertrophy were selected,all of them received surgical treatment,and they were divided into two groups according to the prognosis of 3 months after operation.The relationship between preoperative adenoid thickness and nasopharyngeal width ratio(A/N),posterior airway width(PAS)and myocardial enzymes,the predictive value of A/N ratio and PAS for prognosis were analyzed.The A/N ratio increased and PAS decreased with the degree of hypertrophy before operation,1 month and 3 months after operation(P<0.05).The AUC value of A/N ratio and PAS at 1 month after operation was higher than that of other time parameters(P<0.05).The parameters of nasopharynx X-ray lateral film in children with adenoid hypertrophy are closely related to the degree of hypertrophy and myocardial enzyme spectrum,and are the main related factors of prognosis,which can provide reference for clinical evaluation of prognosis and guidance of improvement of treatment plan.