Hussein A, Koch I, Nordwall H
Kinderkrankenhaus, Norderney.
Monatsschr Kinderheilkd. 1988 Oct;136(10):686-9.
Sonography of maxillary sinuses was performed in 362 asymptomatic children with chronic airway diseases, using a 7.5 MHz sector scanner. Pathologic findings were detected in 78 (21.5%) children. Occipito-frontal radiographs of the sinuses were performed in 40 (11%) randomly chosen children and the findings were later compared with those of sonography. An overall agreement in terms of "normal-abnormal" findings was present in 94% of the 80 sinuses examined. In sinuses judged as "normal" or "abnormal" in either of the methods, findings were corresponding as "normal" in 40 of 45 (89%) and as "abnormal" in 35 of 40 (87%) sinuses. A differentiated assessment of pathologic findings showed an agreement in only 19 of 40 (48%) sinuses. Thus, an overall agreement of differentiated findings was present in 59 of 80 (74%) sinuses. Sonography was superior to radiography especially in differentiating the sinus content in secretion, swelling of the mucosa, polyps, cysts and air. In conclusion, sonography offers an accurate screening method for assessment of paranasal sinuses in children.
对362名患有慢性气道疾病的无症状儿童进行了上颌窦超声检查，使用7.5MHz扇形扫描仪。在78名（21.5%）儿童中发现了病理结果。对40名（11%）随机选择的儿童进行了鼻窦的枕额位X线片检查，随后将结果与超声检查结果进行比较。在检查的80个鼻窦中，94%的鼻窦在“正常-异常”结果方面总体一致。在两种方法中判断为“正常”或“异常”的鼻窦中，45个鼻窦中有40个（89%）结果对应为“正常”，40个鼻窦中有35个（87%）结果对应为“异常”。对病理结果的差异评估显示，40个鼻窦中只有19个（48%）鼻窦结果一致。因此，80个鼻窦中有59个（74%）鼻窦在差异结果方面总体一致。超声检查在区分鼻窦内的分泌物、黏膜肿胀、息肉、囊肿和空气方面优于X线片检查。总之，超声检查为评估儿童鼻窦提供了一种准确的筛查方法。
