儿童头颅侧位片测量参数对腺样体肥大诊断价值的研究

doi:10.6040/j.issn.1673-3770.0.2022.002

摘要/Abstract

摘要： 目的获取儿童头颅侧位片指标参数值,以期发现用于儿童腺样体肥大辅助诊断的相关指标。方法选取2020年7月至2021年7月期间到山东大学齐鲁医院耳鼻喉科就诊并确诊腺样体肥大的3~10岁患儿(A/N≥0.71)480例(男女各240例)。采用MIMICS 21.0软件对480例患儿侧位片的9项观测指标进行观测和分析,数据通过SPSS 22.0进行各项统计分析。结果其中NS/TS(X₂)、PNS-UPW(X₅)、SPP-SPPW(X₆)、∠U1-LI(X₇)、∠UI-NA(X₈)、∠LI-NB(X₉)6项指标与A/N(X₁)指标存在强线相关性关系。结论头颅侧位片相关指标对于儿童腺样体肥大诊疗具有较高的价值,其中NS/TS(X₂)、PNS-UPW(X₅)、SPP-SPPW(X₆)、∠U1-LI(X₇)、∠UI-NA(X₈)和∠LI-NB(X₉)指标可辅助A/N指标(X₁)用于3~8岁儿童腺样体肥大的诊断。

关键词: 儿童, 头颅侧位片, 腺样体, 腺样体肥大

Abstract: Objective To identify the parameters of lateral cephalometric radiograph assessment in children with the aim of establishing relevant diagnostic indicators for adenoid hypertrophy. Methods A total of 480 children aged 3-10 years diagnosed with adenoid hypertrophy(A/N≥0.71)in the Department of Otolaryngology, Qilu Hospital of Shandong University, between July 2020 and July 2021 were selected(240 female and 240 male cases). MIMICS 21.0 was used to observe and analyze nine observation indexes of lateral cephalometric radiograph assessment in 480 children. Results There was a strong linear correlation between NS/TS(X₂), PNS-UPW(X₅), SPP-SPPW(X₆), ∠U1-LI(X₇), ∠UI-NA(X₈), ∠LI-NB(X₉), and A/N(X₁)indicators(P<0.001). Conclusion The relevant indicators related to lateral cephalometric radiograph assessment had high diagnostic and treatment values for adenoid hypertrophy in children, among which NS/TS(X₂), PNS-UPW(X₅), SPP-SPPW(X₆), ∠U1-LI(X₇), ∠UI-NA(X₈), and ∠LI-NB(X₉)can be used as indicators to assist in adenoid hypertrophy diagnosis(A/N indicators)in children aged 3-8 years.

Key words: Children, Lateral cephalometric radiograph, Adenoids, Adenoid hypertrophy

中图分类号:

R766.49

倪守洁,邹娟娟,郭瑞祥,韩莹莹,金霄雪,李延忠,王岩. 儿童头颅侧位片测量参数对腺样体肥大诊断价值的研究[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 39-44.

NI Shoujie, ZOU Juanjuan, GUO Ruixiang, HAN Yingying, JIN Xiaoxue, LI Yanzhong, WANG Yan. Study on the diagnostic value of children's cephalometric roentgenogram measurement parameters for adenoid hypertrophy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 39-44.

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