Karakas Huseyin Bugra, Mazlumoglu Muhammet Recai, Simsek Eda
Clinic of Urology, Hinis Sehit Yavuz Yurekseven State Hospital, Erzurum, Turkey.
Clinic of Ear, Nose and Throat, Hinis Sehit Yavuz Yurekseven State Hospital, Erzurum, Turkey.
Eur Arch Otorhinolaryngol. 2017 Jul;274(7):2959-2963. doi: 10.1007/s00405-017-4558-z. Epub 2017 Apr 6.
This study evaluated the necessity of examining the upper airway in children with nocturnal enuresis. 225 children (aged 5-16 years), who were referred from the urology outpatient clinic between May 2015 and May 2016 and who had completed toilet training, were included in this study. Participants were separated into monosymptomatic nocturnal enuresis (MNE) (group 1) and without MNE (group 2) groups. Tonsil hypertrophy, adenoid vegetation, septal deviation, turbinate hypertrophy, allergic rhinitis, upper airway obstruction, and snoring etiology were assessed. In total, 112 children with MNE (group 1) participated in addition to 113 children selected randomly without MNE (group 2). Adenoid score (p = 0.016), septal deviation (p = 0.017), and snoring (p = 0.007) were significantly different between the groups. No differences in tonsil score (p = 0.618), turbinate hypertrophy (p = 0.424), and allergic rhinitis (p = 0.544) were detected between the groups. Possible causes of upper airway obstruction and snoring which is a symptom of obstructive sleep-disordered breathing in the pediatric population, including adenoid hypertrophy and septal deviation, should be considered as possible etiological factors in children with MNE.
本研究评估了对夜间遗尿儿童进行上呼吸道检查的必要性。纳入了2015年5月至2016年5月间从泌尿外科门诊转诊而来且已完成如厕训练的225名儿童（年龄5 - 16岁）。参与者被分为单纯性夜间遗尿（MNE）组（第1组）和非MNE组（第2组）。评估了扁桃体肥大、腺样体增生、鼻中隔偏曲、鼻甲肥大、过敏性鼻炎、上呼吸道阻塞及打鼾病因。除了随机选取的113名非MNE儿童（第2组）外，共有112名MNE儿童（第1组）参与。两组之间腺样体评分（p = 0.016）、鼻中隔偏曲（p = 0.017）和打鼾（p = 0.007）存在显著差异。两组之间扁桃体评分（p = 0.618）、鼻甲肥大（p = 0.424）和过敏性鼻炎（p = 0.544）未检测到差异。上呼吸道阻塞和打鼾（小儿阻塞性睡眠呼吸障碍的一种症状）的可能原因，包括腺样体肥大和鼻中隔偏曲，应被视为MNE儿童可能的病因因素。
