鼻内镜检查与多视角电视荧光吞咽造影在评估腭咽闭合不全中的比较。

A comparison of nasendoscopy and multiview videofluoroscopy in assessing velopharyngeal insufficiency.

作者信息

Lam Derek J, Starr Jacqueline R, Perkins Jonathan A, Lewis Charlotte W, Eblen Linda E, Dunlap Julie, Sie Kathleen C Y

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Washington Medical Center, Box 356515, 1959 NE Pacific Street, Seattle, WA 98195, USA.

出版信息

Otolaryngol Head Neck Surg. 2006 Mar;134(3):394-402. doi: 10.1016/j.otohns.2005.11.028.

OBJECTIVES

To compare nasendoscopy (NE) and multiview fluoroscopy (MVF) in assessing velopharyngeal gap size; and 2) to determine the relationship between these assessments and velopharyngeal insufficiency (VPI) severity.

STUDY DESIGN AND SETTING

Retrospective review of consecutive patients with VPI at a tertiary care children's hospital, assessed with NE and MVF between 1996 and 2003.

RESULTS

177 subjects. NE and MVF gap areas were correlated (R = 0.34, 95% CI 0.26-0.41). In adjusted analysis, VPI severity was associated with: 1) NE gap area (OR = 2.78, 95% CI 1.96-3.95), 2) MVF gap area (OR 1.64, 95% CI 1.37-1.95), 3) age <5 years (OR 3.30, 95% CI 1.47-7.38), and 4) previously repaired cleft palate (OR 0.48, 95% CI 0.25-0.94).

CONCLUSIONS AND SIGNIFICANCE

NE and MVF assessments provide complementary information and are correlated. Both are associated with VPI severity. However, the "bird's-eye view" provided by NE has a stronger correlation with VPI severity than MVF.

EBM RATING

B-2b.

目的

1）比较鼻内镜检查（NE）和多视角荧光透视检查（MVF）在评估腭咽间隙大小方面的差异；2）确定这些评估结果与腭咽功能不全（VPI）严重程度之间的关系。

研究设计与背景

对一家三级儿童专科医院中连续的VPI患者进行回顾性研究，这些患者在1996年至2003年间接受了NE和MVF检查。

结果

177名受试者。NE和MVF测得的间隙面积具有相关性（R = 0.34，95%可信区间0.26 - 0.41）。在校正分析中，VPI严重程度与以下因素相关：1）NE间隙面积（比值比[OR] = 2.78，95%可信区间1.96 - 3.95），2）MVF间隙面积（OR = 1.64，95%可信区间1.37 - 1.95），3）年龄<5岁（OR = 3.30，95%可信区间1.47 - 7.38），以及4）既往有腭裂修复史（OR = 0.48，95%可信区间0.25 - 0.94）。

结论与意义

NE和MVF评估提供了互补信息且具有相关性。两者均与VPI严重程度相关。然而，NE提供的“鸟瞰图”与VPI严重程度的相关性比MVF更强。

循证医学评级

B - 2b。