比较鼻咽喉镜检查与颈部侧位X线片在诊断儿童腺样体肥大中的应用：一项病例对照研究
Comparing Flexible Nasal Endoscopy and Lateral Neck Radiography When Diagnosing Children with Adenoid Hypertrophy: A Case-Control Study.
作者信息
Hosri Jad, Hosn Omar Aboul, Ghanem Anthony, Daou Anne Marie, Ghadieh Justin, Zalaquett Nader, Barazi Randa
机构信息
American University of Beirut Medical Center, Department of Otolaryngology-Head and Neck Surgery, Beirut, Lebanon.
American University of Beirut Faculty of Medicine, Beirut, Lebanon.
出版信息
Turk Arch Otorhinolaryngol. 2025 Dec 26;63(4):185-189. doi: 10.4274/tao.2025.2025-9-4. Epub 2025 Dec 25.
OBJECTIVE
To compare the reliability of flexible nasal endoscopy and lateral neck radiography in grading adenoid hypertrophy preoperatively in children.
METHODS
A retrospective study was performed at a single tertiary care center. Medical records of children who underwent adenoidectomy between January 2019 and December 2023 were reviewed. Preoperative adenoid size was assessed by radiography or endoscopy and compared to intraoperative grading, the reference. Adenoid hypertrophy was graded as mild (25-50%), moderate (51-75%), or severe (76-100%).
RESULTS
A total of 360 patients, 199 males and 161 females, were included. The mean age was 4.29±2.39 years. Preoperative and intraoperative grading matched in 58% of cases using endoscopy and 44.5% using radiography (p=0.028). Accurate grading was 1.7 times more likely with nasal endoscopy than radiography [odds ratio=1.72; 95% confidence interval (1.06-2.79)].
CONCLUSION
Flexible nasal endoscopy is more reliable than radiography in preoperative grading of adenoid hypertrophy in children.
目的
比较小儿腺样体肥大术前柔性鼻内镜检查和颈部侧位X线摄影分级的可靠性。
方法
在一家三级医疗中心进行回顾性研究。回顾了2019年1月至2023年12月期间接受腺样体切除术的儿童的病历。术前腺样体大小通过X线摄影或内镜检查进行评估，并与术中分级（参考标准）进行比较。腺样体肥大分为轻度（25%-50%）、中度（51%-75%）或重度（76%-100%）。
结果
共纳入360例患者，其中男性199例，女性161例。平均年龄为4.29±2.39岁。在内镜检查中，58%的病例术前和术中分级匹配；在X线摄影中，这一比例为44.5%（p=0.028）。鼻内镜检查准确分级的可能性是X线摄影的1.7倍[比值比=1.72；95%置信区间（1.06-2.79）]。
结论
在小儿腺样体肥大术前分级中，柔性鼻内镜检查比X线摄影更可靠。
Zotero 插件