鼻咽喉内镜检查对儿童上气道咳嗽综合征的病因分析及诊断价值.docVIP

鼻咽喉内镜检查对7 L童上气道咳嗽综合 征的病因分析及诊断价值 敬尚林林楠唐向荣觀鵬鵬胡江锋 广西壮族自治区柳州市妇幼保健院耳鼻咽喉科 R的探讨鼻咽喉内镜检查对儿童上气道咳嗽综合征（UACS）的病因分析及诊断 方而的应用价值。方法对该院2014年1月-2016年12月确诊为UACS的132例 患儿经鼻咽喉内镜检查的结果进行分析研宄。结果132例患儿中发现有上气道 病变因素者125例（94.70%）。其中，常见因素为鼻窦炎43例（32. 58%），慢 性鼻炎32例（24.24%）,腺样体肥大13例（9.85%）,慢性咽炎11例（8.33%）, 慢性扁桃体炎（扁桃体肥大）9例（6.82%）。在不同年龄段屮，上气道病变因 素分布有所不同，差笄有统计学意义（P〈0.05）。结论鼻咽喉内镜检奔在UACS 病因分析及诊断中能够准确、及时发现上气道局部病变情况，为临床精淮诊治提 供良好帮助，是一种安全有效的检查方法，在临床上值得推广使用。 关键词： 鼻咽喉内镜;儿童;上气道咳嗽综合征;病因诊断; 2017-04-17 基金：广丙壮族自治区卫生和计划生育委员会自筹经费科研课题（No:Z2016532） Etiology and diagnostic value of nasopharyngeal endoscopy in children with upper airway cough syndrome Shang-lin Jing Nan Lin Xiang-rong Tang Lian Mo Hui Wen Yan Yang Jiang-feng Hu Department of Otolaryngology, Liuzhou Womenand Children’s Hospital; Abstract： Objective To explore the etiological analysis and diagnostic value of nasopharyngeal endoscopy in children with upper airway cough syndrome. Method The results of nasopharyngeal endoscopy in 120 children diagnosed with upper airway cough syndrome from January 2014 to December 2016 were analyzed. Results Of the 132 cases, 125 cases (94. 70%) with upper airway lesions were found, and among the 125 cases, 43 cases (32. 58%) had sinusitis, 32 cases (24. 24%) had chronic rhinitis (including allergic rhinitis) ， 13 cases (9.85%) had adenoid hypertrophy, 11 cases (8.33%) had chronic pharyngitis, chronic tonsi 11 i tis (tonsil hypertrophy) 9 cases (6. 82%) . The distribution of upper airway lesions was different in different age groups (P 0.05) . Conclusion Nasopharyngeal endoscopy in the upper airway cough syndrome etiology analysis and diagnosis can be accurate and timely detection of local airway lesions, clinical diagnosis and treatment to provide good help. Tt is a safe and effective examination method, worthy of clinically promotion. Keyword： nasopharyngeal endoscopy; children; upper airway cough syndrome; etiological diagnosis; Received： 2017-04-17 儿童慢性上气道咳嗽综合征(uppen airway cough syndrome, UACS)是由鼻炎、 鼻窦炎、咽炎和扁桃体肥大等上气道疾痫引起