鼻咽部数字化摄影及ETDQ-7量表评分对腺样体肥大儿童的咽鼓管功能评价

Evaluation of Eustachian tube function in children with adenoid hypertrophy by nasopharyngeal digital photography and ETDQ-7 scores

目的:探讨鼻咽部数字化摄影及ETDQ-7量表评分在儿童腺样体肥大伴或不伴分泌性中耳炎(OME)的咽鼓管功能评估中的作用。方法:对2019年2月—2021年8月收治的60例伴或不伴OME的腺样体肥大患儿采用鼻咽部数字化摄影,对鼻咽腔有效气道宽度(PAS)、鼻咽腔宽度及腺样体指数(腺样体厚度/鼻咽腔宽度,A/N)进行测量,采用咽鼓管功能ETDQ-7评分量表进行评分。对腺样体肥大伴OME与ETDQ-7评分的相关性进行统计学分析。结果:腺样体肥大伴OME组A/N≤0.60、A/N 0.61-0.70、A/N≥0.71的ETDQ-7评分分别为4.15±1.75、14.55±6.67和23.95±6.63。腺样体肥大等级越高,ETDQ-7评分也越高。腺样体肥大伴OME组中,腺样体肥大程度与ETDQ-7评分呈正相关,差异有统计学意义(P<0.05)。结论:腺样体肥大也是引起儿童OME的潜在因素之一。

Objective: To evaluate the Eustachian tube function of children with simple adenoid hypertrophy and adenoid hypertrophy with secretory otitis media(OME) by using the A/N value of lateral radiograph of nasopharyngeal X-ray and EDQ-7 scale scores. Methods: Sixty cases of children with adenoid hypertrophy admitted from February 2019 to August 2021 were all underwent nasopharyngeal X-ray lateral radiographs to determine the adenoid/nasopharyngeal cavity ratio(A/N ratio) and then determine the size of adenoids. The Eustachian tube function ETDQ-7 survey was used to evaluate the patient’s self-evaluation of the severity of the disease and ear symptoms, and the degree of influence were scored. Subsequently, the correlation between adenoid hypertrophy with OME and ETDQ-7 scores was statistically analyzed by using the Spearman rank correlation statistical method. Results: In adenoid hypertrophy with OME group, the ETDQ-7 scores of A/N≤0.60, A/N 0.61—0.70 and A/N≥0.71 were 4.15±1.75, 14.55±6.67 and 23.95±6.63, respectively. The higher the grade of adenoid hypertrophy, the higher the ETDQ-7 scores. In adenoid hypertrophy with OME group, the degree of adenoid hypertrophy was positively correlated with the ETDQ-7 scores(P<0.05). Conclusion: Adenoid hypertrophy is also one of the potential factors causing OME in children.