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纤维内镜检查儿童鼻咽喉疾病
引用本文:陈洁,杨军,陈向平,程岚,马晓雯.纤维内镜检查儿童鼻咽喉疾病[J].中国耳鼻咽喉头颈外科,2008,15(1):11-12.
作者姓名:陈洁  杨军  陈向平  程岚  马晓雯
作者单位:上海交通大学医学院附属新华医院儿童医学中心耳鼻咽喉头颈外科,上海,200127
摘    要:目的探讨纤维内镜检查在儿童鼻咽喉疾病诊断中的意义。方法在表面麻醉下应用纤维内镜检查1112例患鼻咽喉疾病儿童。结果1112例患儿中,患腺样体中、重度肥大者702例,占63.13%;患慢性鼻窦炎、鼻息肉者59例,占5.31%;患喉部疾病者257例,占23.11%,以患声带小结和喉炎者为主,分别为132例(11.87%)和102例(9.17%),其次为声带息肉8例(0.72%)。结论儿童声嘶最常见的病因为慢性喉炎和声带小结,其次为声带息肉。纤维内镜检查能立体地展示儿童鼻咽部腺样体的大小,突入鼻腔或阻塞后鼻孔的程度。纤维内镜检查在诊断儿童鼻咽喉疾病中有积极的作用。

关 键 词:喉镜检查  耳鼻咽喉疾病  声嘶  增殖腺  儿童
收稿时间:2006-11-13
修稿时间:2006年11月13

Fibroendoscopy for otolaryngologic diseases in children
CHEN Jie,YANG Jun,CHEN Xiangping,CHENG Lan,MA Xiaowen.Fibroendoscopy for otolaryngologic diseases in children[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2008,15(1):11-12.
Authors:CHEN Jie  YANG Jun  CHEN Xiangping  CHENG Lan  MA Xiaowen
Abstract:OBJECTIVE To evaluate the role of fiberendoscope in the diagnosis of otorhinolaryngologic diseases in children. METHODS A total of 1112 children underwent fibroendoscopy with surface anesthesia. RESULTS Moderate-severe adenoidal hypertrophy was found in 702 cases(63.13 %),chronic nasal sinusitis and nasal polyps in 59 cases (5.31 %),laryngeal diseases in 257 cases(23.11 %). The main two laryngeal diseases were vocal cord nodules and laryngitis (132 cases and102 cases respectively). Vocal polyps were found in 8 cases(0.72 %). CONCLUSION The common causes of hoarseness in children were vocal cord nodules,chronic laryngitis,and vocal cord polyps. Fibroendoscope can show the three dimensional size of adenoids and its obstructive degree of the nasopharyngeal cavity.
Keywords:Laryngoscopy  Otorhinolaryngologic Diseases  Hoarseness  Adenoids  Child
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