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目的:研究声反射鼻腔测量对腺样体肥大患儿的诊断与手术疗效评价方面的临床应用价值。方法:对23例正常儿童(正常儿童组)及27例腺样体肥大患儿(腺样体肥大组)进行坐位声反射鼻腔测量。结果:腺样体肥大组术前总鼻气道阻力(NAR)为[(0.44±0.17)kPa.L-1.min-1],较正常儿童组[(0.33±0.17)kPa.L-1.min-1]增大,差异有统计学意义(P<0.05),双侧鼻咽部容积(NPV)为[(14.74±5.01)cm3],较正常儿童组[(19.77±5.77)cm3]减小,差异有统计学意义(P<0.01);腺样体肥大组术后总NAR为[(0.36±0.21)kPa.L-1.min-1],较术前减小,差异有统计学意义(P<0.05),双侧NPV为[(17.93±4.56)cm3],较术前增大,差异有统计学意义(P<0.05)。结论:声反射鼻腔测量在腺样体肥大的诊断和疗效判定方面具有重要意义。
Objective: To study the clinical value of acoustic reflex nasal measurement in the diagnosis and surgical evaluation of adenoid hypertrophy in children. Methods: Twenty-three normal children (normal children’s group) and 27 adenoid hypertrophy children (adenoid hypertrophy group) were measured by sitting acoustic reflex nasal. Results: The preoperative total nasal airway resistance (NAR) in adenoid hypertrophy group was significantly higher than that in normal children [(0.44 ± 0.17) kPa.L-1.min-1] [(0.33 ± 0.17) kPa.L-1 (P <0.05), bilateral nasopharyngeal volume (NPV) was [(14.74 ± 5.01) cm3], which was significantly higher than that in normal children [(19.77 ± 5.77) cm3] (P <0.01). The total NAR after adenoid hypertrophy group was [(0.36 ± 0.21) kPa.L-1.min-1], which was lower than that before operation, the difference was statistically significant (P <0.05). The bilateral NPV was [(17.93 ± 4.56) cm3], which was significantly higher than that before operation (P <0.05). Conclusion: The acoustic reflex nasal measurement is of great significance in the diagnosis and efficacy determination of adenoid hypertrophy.