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扁桃体体积可能预测腺样体大小:一项真实世界研究。

Tonsil volume may predict adenoid size: a real-life study.

机构信息

Allergy Clinic, Casa di Cura Villa Montallegro, Genoa, Italy.

Health Sciences Dpt, Genoa University, Genoa, Italy.

出版信息

Acta Biomed. 2020 Feb 17;91(1-S):77-80. doi: 10.23750/abm.v91i1-S.9231.

DOI:10.23750/abm.v91i1-S.9231
PMID:32073566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7947739/
Abstract

Tonsil hypertrophy (TH) and adenoid hypertrophy (AH) are very common in children. Adenoid is visible only by endoscopy. This study investigated the possible relationship between the tonsil and adenoid volume and the possible prediction of adenoid size. Globally, 991 children (461 females, 530 males, mean age 6.2 ± 2.3 years), complaining persistent upper airway obstruction, were consecutively visited at an otorhinolaryngological unit. TH was significantly (p<0.0001) associated with AH and tonsil volume predicted adenoid size. This outcome could have relevance in clinical practice as adenoid are evaluable only by endoscopy, so tonsil assessment could mirror adenoid volume.

摘要

扁桃体肥大 (TH) 和腺样体肥大 (AH) 在儿童中非常常见。腺样体仅通过内窥镜才能看到。本研究旨在探讨扁桃体和腺样体体积之间的可能关系,并预测腺样体的大小。本研究共纳入了 991 名儿童(461 名女性,530 名男性,平均年龄 6.2 ± 2.3 岁),这些儿童均因持续性上呼吸道阻塞而在耳鼻喉科门诊就诊。结果发现,TH 与 AH 显著相关(p<0.0001),且扁桃体体积可以预测腺样体的大小。这一结果在临床实践中可能具有重要意义,因为腺样体只能通过内窥镜进行评估,因此扁桃体的评估可以反映腺样体的体积。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f3/7947739/5b31f4a0dab2/ACTA-91-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f3/7947739/5b31f4a0dab2/ACTA-91-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32f3/7947739/5b31f4a0dab2/ACTA-91-77-g001.jpg

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本文引用的文献

1
Nasal endoscopy in children with suspected allergic rhinitis.儿童疑似变应性鼻炎的鼻内镜检查。
Laryngoscope. 2011 Oct;121(10):2055-9. doi: 10.1002/lary.22156. Epub 2011 Sep 6.
2
Role of adenoids and adenoiditis in children with allergy and otitis media.腺样体及腺样体炎在儿童过敏和中耳炎中的作用。
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Validation of a new grading system for endoscopic examination of adenoid hypertrophy.腺样体肥大内镜检查新分级系统的验证
Otolaryngol Head Neck Surg. 2006 Nov;135(5):684-7. doi: 10.1016/j.otohns.2006.05.003.
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A safe, alternative technique for inferior turbinate reduction.一种安全的下鼻甲缩小替代技术。
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