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基于症状评分及X线相关性的腺样体肥大社区水平评估

Community level evaluation of adenoid hypertrophy on the basis of symptom scoring and its X-ray correlation.

作者信息

Dixit Yogita, Tripathi Prem Siddharth

机构信息

Department of Otolaryngorhinology, Modern Institute of Medical Sciences, Indore, Madhya Pradesh, India.

Department of Radiodiagnosis, MGM Medical College, Indore, Madhya Pradesh, India.

出版信息

J Family Med Prim Care. 2016 Oct-Dec;5(4):789-791. doi: 10.4103/2249-4863.201156.

Abstract

INTRODUCTION

One of the major causes of pediatric morbidity today at the community level is infection involving the ear, nose, and throat. Maximum of these patients respond well initially on general regular medications, but then recurrent complaints are not very uncommon. One of the major causes for such recurrence is hypertrophy of adenoids, the evaluation of which requires a battery of sophisticated investigative tools and expertise which are lacking at the community level. The aim of the study is to evaluate various symptoms related to adenoid hypertrophy and its correlation to the size of the adenoid seen in the lateral view nasopharyngeal X-ray. The aim of the study was to assess various symptoms related to adenoid hypertrophy and its correlation with the size of adenoid radiologically.

METHODS

A total of fifty cases of pediatric age with strong clinical suspicion of adenoid hypertrophy were included in the study. Through ENT examination was done. X-ray lateral view nasopharynx was obtained.

RESULTS

Adenoid hypertrophy was graded according to symptoms score and lateral cephalometric/radiographs. Snoring was the most frequent symptom which had a linear relation with the size of the adenoid.

CONCLUSION

There was good agreement between symptom and the X-ray findings.

摘要

引言

当今社区层面儿童发病的主要原因之一是耳、鼻、喉感染。这些患者中的大多数最初对常规药物治疗反应良好,但随后反复出现症状并不罕见。此类复发的主要原因之一是腺样体肥大,而对其进行评估需要一系列复杂的检查工具和专业知识,而社区层面缺乏这些。本研究的目的是评估与腺样体肥大相关的各种症状及其与鼻咽部X线侧位片中腺样体大小的相关性。本研究的目的是评估与腺样体肥大相关的各种症状及其与放射学上腺样体大小的相关性。

方法

本研究共纳入50例临床高度怀疑腺样体肥大的儿童病例。进行了耳鼻喉检查,并获取了鼻咽部X线侧位片。

结果

根据症状评分和侧位头影测量/射线照片对腺样体肥大进行分级。打鼾是最常见的症状,与腺样体大小呈线性关系。

结论

症状与X线检查结果之间有良好的一致性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf25/5353815/3357b35848f9/JFMPC-5-789-g003.jpg

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