纤维鼻咽镜检查在评价儿童腺样体肥大中的价值

目的：探讨纤维鼻咽镜检查在评价腺样体肥大中的价值。方法：随机选取门诊就诊打鼾患儿130例及无打鼾患儿30例，采用纤维鼻咽镜检查鼻腔及鼻咽部，同时行X线头颅侧位片检查，并记录检查结果。结果：腺样体大小与打鼾程度呈负相关关系（P〈0．01），较大的腺样体其持续型打鼾的发生率明显高于间断型和缺如型（均P〈0．01）；腺样体大小与A／N比率呈正相关关系（P〈0．01），较大的腺样体其病理性肥大的发生率明显高于中度肥大和正常大小者（均P〈0．01）。结论：纤维鼻咽镜与X线头颅侧位片评价腺样体大小有高度的一致性，应用纤维鼻咽镜检查患儿鼻腔和鼻咽部，在诊断腺样体肥大及选择腺样体切除术时有重要的临床价值。

Assessment of adenoid size in children by flexible fibrescope examination

Objective:To assess the adenoid size in children by flexible fibrescope examination and outline an effective therapeutic program according to the examination.Method:In this study, the flexible fibrescope examination of the nasal cavity and nasopharynx and a lateral skull radiograph examination were performed in 130 children with snoring and the same examinations were performed in another 30 children without snoring. Result:The size of adenoid was negatively associated with the degree of snoring. (P< 0.01 ). There is a high correlation between the flexible fibrescope examination and the lateral skull radiograph examination (r=0.435,P<0.01 ).Conclusion:The application of the flexible fibrescope examination of the nasal cavity and nasopharynx has proved to be of great clinical value , especially in the selection of children for adenoidectomy. It is an examination with minor invasion which can be well tolerated by most children , giving more information than a lateral skull radiograph and avoiding unnecessary radiation.