Modrzyński Marek, Mierzwiński Józef, Zawisza Edward, Piziewicz Adam
Poradnia Alergologiczna NZOZ Euromedica w Grudziadzu.
Przegl Lek. 2004;61(2):74-7.
The role of enlarged adenoids and tonsils in upper airway obstruction has become well-established earlier, thus, adenoidectomy with or without tonsillectomy is one of the most commonly performed surgical procedures in the paediatric population. Direct assessment of adenoidal size is difficult and no definitive method is so far available to complement clinical assessment. The most important diagnostic techniques are recording of obstructive symptoms, transoral posterior rhinoscopic examination, radiological evaluation, such as lateral radiography of the adenoid and nasopharyngeal magnetic resonance imaging, transnasal fiberoscopic examination, acoustic rhinometry and others. In this study we compare acoustic rhinometry, fiberoscopy and Cohen and Konac radiological method. Spearman's correlation test was used to evaluate the degree of correlation between these three methods. We concluded that acoustic rhinometry and radiology are good and objective methods for measuring adenoid sizes in allergic children.
腺样体和扁桃体肿大在上气道梗阻中的作用早已明确,因此,腺样体切除术无论是否联合扁桃体切除术,都是儿科最常施行的外科手术之一。直接评估腺样体大小较为困难,目前尚未找到完善的临床评估辅助方法。最重要的诊断技术包括记录阻塞症状、经口后鼻镜检查、放射学评估,如腺样体侧位X线摄影及鼻咽部磁共振成像、经鼻纤维镜检查、鼻声反射测量法等。在本研究中,我们比较了鼻声反射测量法、纤维镜检查法以及科恩和科纳克放射学方法。采用斯皮尔曼相关性检验来评估这三种方法之间的相关程度。我们得出结论,鼻声反射测量法和放射学方法是测量变应性儿童腺样体大小的良好且客观的方法。