Wormald P J, Prescott C A
Department of Otolaryngology, Groote Schuur Hospital, Observatory, South Africa.
J Laryngol Otol. 1992 Apr;106(4):342-4. doi: 10.1017/s0022215100119449.
Methods of evaluating adenoidal size pre-operatively are controversial. Symptoms and clinical evaluation have been both advocated and condemned. Depending on the methodology, measurement of the radiological adenoidal shadow has been difficult to correlate with the clinical patency of the nasopharyngeal airway and to the actual size of the removed adenoid. Four different methods were used to measure the adenoidal size on 74 radiographs. The methods were evaluated against the degree to which the adenoids obstructed the nasopharynx on flexible endoscopy of the postnasal space. Obstructive symptomatology was also evaluated against the degree of obstruction. The radiological method that best correlated to the endoscopic findings was that of Cohen and Konak (1985). However, obstructive symptomatology had the overall highest correlation to endoscopic findings.
术前评估腺样体大小的方法存在争议。症状和临床评估既有人支持也有人反对。根据不同的方法，放射学上腺样体阴影的测量很难与鼻咽气道的临床通畅度以及切除的腺样体实际大小相关联。在74张X光片上使用了四种不同的方法来测量腺样体大小。这些方法根据腺样体在后鼻孔空间的软性内镜检查中阻塞鼻咽的程度进行评估。阻塞性症状也根据阻塞程度进行评估。与内镜检查结果相关性最好的放射学方法是科恩和科纳克（1985年）提出的方法。然而，阻塞性症状与内镜检查结果的总体相关性最高。
