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儿童骨性鼻咽部的放射学参数及腺样体扁桃体大小与睡眠呼吸暂停发作情况的比较。

Radiological parameters of the bony nasopharynx and the adenotonsillar size compared with sleep apnea episodes in children.

作者信息

Laurikainen E, Erkinjuntti M, Alihanka J, Rikalainen H

出版信息

Int J Pediatr Otorhinolaryngol. 1987 Feb;12(3):303-10. doi: 10.1016/s0165-5876(87)80006-x.

DOI:10.1016/s0165-5876(87)80006-x
PMID:3583584
Abstract

The role of enlarged adenoids and tonsils in recurrent respiratory infections and upper airway obstruction has become well-established earlier. In this study we investigated the relationship between the X-ray properties of the nasopharynx and the sleep quality by using a new sleep registration method: The Static Charge Sensitive Bed (SCSB). The estimation of the bony nasopharyngeal dimensions, the measurement of adenotonsillar volume and the sleep recordings were performed as adenoidectomy, tonsillectomy or adenotonsillectomy in hospitalized children. A surprisingly high frequency of sleep apnea episodes was found in sleep recordings of about 8 h. No correlations could be established between the X-ray anatomical estimates and sleep apnea episodes.

摘要

腺样体和扁桃体肿大在反复呼吸道感染和上呼吸道阻塞中的作用早已明确。在本研究中,我们采用一种新的睡眠记录方法——静态电荷敏感床(SCSB),研究鼻咽部X线特征与睡眠质量之间的关系。对住院儿童进行腺样体切除术、扁桃体切除术或腺样体扁桃体切除术时,同时进行鼻咽部骨性尺寸的评估、腺样体扁桃体体积的测量以及睡眠记录。在约8小时的睡眠记录中发现睡眠呼吸暂停发作的频率高得出奇。X线解剖学评估与睡眠呼吸暂停发作之间未发现相关性。

相似文献

1
Radiological parameters of the bony nasopharynx and the adenotonsillar size compared with sleep apnea episodes in children.儿童骨性鼻咽部的放射学参数及腺样体扁桃体大小与睡眠呼吸暂停发作情况的比较。
Int J Pediatr Otorhinolaryngol. 1987 Feb;12(3):303-10. doi: 10.1016/s0165-5876(87)80006-x.
2
Radiologic evaluation of adenoids and tonsils in children with obstructive sleep apnea: plain films and fluoroscopy.阻塞性睡眠呼吸暂停患儿腺样体和扁桃体的放射学评估:平片与透视检查
Pediatr Radiol. 1983;13(5):258-65. doi: 10.1007/BF00973342.
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Sleep apnea syndrome in children--secondary to adenotonsillar hypertrophy?儿童睡眠呼吸暂停综合征——继发于腺样体扁桃体肥大?
Acta Otolaryngol Suppl. 1992;492:38-41.
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The lateral neck radiograph in adenotonsillar hyperplasia.腺样体扁桃体增生的颈部侧位X线片。
Int J Pediatr Otorhinolaryngol. 1985 Oct;10(1):67-73. doi: 10.1016/s0165-5876(85)80058-6.
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Relief of upper airway obstruction by adenotonsillectomy.腺样体扁桃体切除术缓解上气道梗阻。
Otolaryngol Head Neck Surg. 1986 Apr;94(4):476-80. doi: 10.1177/019459988609400412.
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Polysomnographic studies in children with adenotonsillar hypertrophy and suspected obstructive sleep apnea.对患有腺样体扁桃体肥大且疑似阻塞性睡眠呼吸暂停的儿童进行的多导睡眠图研究。
Pediatr Pulmonol. 1996 Aug;22(2):101-5. doi: 10.1002/(SICI)1099-0496(199608)22:2<101::AID-PPUL4>3.0.CO;2-T.
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A comparison of tonsillar size and oropharyngeal dimensions in children with obstructive adenotonsillar hypertrophy.阻塞性腺样体扁桃体肥大患儿扁桃体大小与口咽尺寸的比较。
Int J Pediatr Otorhinolaryngol. 1987 Aug;13(2):149-56. doi: 10.1016/0165-5876(87)90091-7.
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[The tonsils and adenoids as a site of infection and the cause of obstruction].[扁桃体和腺样体作为感染部位及梗阻原因]
Pediatr Med Chir. 1998 Jul-Aug;20(4):237-47.
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Influence of upper airway obstruction by enlarged tonsils and adenoids upon recurrent infection of the lower airway in childhood.儿童期扁桃体和腺样体肥大导致的上气道梗阻对下气道反复感染的影响。
Laryngoscope. 1980 Oct;90(10 Pt 1):1709-16.
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Effect of adenoids and tonsil tissue on pediatric obstructive sleep apnea severity determined by computational fluid dynamics.计算流体动力学确定腺样体和扁桃体组织对小儿阻塞性睡眠呼吸暂停严重程度的影响。
J Clin Sleep Med. 2020 Dec 15;16(12):2021-2028. doi: 10.5664/jcsm.8736.

引用本文的文献

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Correlation between adenoidal nasopharyngeal ratio and symptoms of enlarged adenoids in children with adenoidal hypertrophy.腺样体肥大患儿腺样体鼻咽比值与腺样体肥大症状的相关性
Afr J Paediatr Surg. 2016 Jan-Mar;13(1):14-9. doi: 10.4103/0189-6725.181701.
2
Sibling risk of pediatric obstructive sleep apnea syndrome and adenotonsillar hypertrophy.小儿阻塞性睡眠呼吸暂停综合征和腺样体扁桃体肥大的同胞患病风险。
Sleep. 2009 Aug;32(8):1077-83. doi: 10.1093/sleep/32.8.1077.
3
Influence of gender and age on upper-airway length during development.
性别和年龄对发育过程中上气道长度的影响。
Pediatrics. 2007 Oct;120(4):e1028-34. doi: 10.1542/peds.2006-3433.
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Sleep . 8: paediatric obstructive sleep apnoea.睡眠。8:小儿阻塞性睡眠呼吸暂停。
Thorax. 2005 Jun;60(6):511-6. doi: 10.1136/thx.2003.007203.