儿童腺样体肥大252例临床分析-耳鼻咽喉科学专业论文.docxVIP

摘 要 儿童腺样体肥大252例临床分析 研究生：邹雅 导师：刘立中 教授 摘 要 目的：通过回顾性病例分析研究，进一步提高腺样体肥大对儿童耳鼻喉疾病作 用的认识，争取早重视，早诊断，早治疗，减少并发症的发生。方法：对 252 例儿 童腺样体肥大的住院手术患儿年龄，性别，临床表现，诊治和疗效情况进行分析， 总结。结果：1.男性 149 例(59.12%)，女性 103 例(40.88%)，年龄在 1 岁 9 个月至 14 岁，10 岁以下占（88.3%），3-6 岁占（66.7%）。2.在腺样体肥大所临床表现中鼾症（210 人）居首位，鼻塞，流涕（82 人）占第二位，听力下降 52（人）占第三位。3. 252 例患儿中 168 例行声阻抗检查结果，正常 75 人占 44.64%，异常 93 人占 55.36%；其 中未诉耳部症状患儿 200 例 102 例行声导抗检查分析，双耳改变 29 例占 28.71%，单 耳改变占 25 例占 24.21%，4.252 例均行以腺样体切除术为主的治疗，对 打鼾，鼻塞、 流涕，听力下降疗效行统计学分析。结论:1.腺样体患儿性别比例差别无统计学意义。 2.腺样体肥大患儿应常规行电耳镜及声阻抗检查。3.尽早明确诊断，减少并发症产生； 及时采取以腺样体切除术为主的序列治疗，可使打鼾、鼻塞，流涕、听力下降等症 状得到及时治疗，获得较满意的疗效，避免影响儿童的生长发育。 关键词：腺样体肥大；儿童；临床分析 新疆医科大学医学硕士学位论文 Clinical analysis of 252 with adenoidal hypertrophy in children Postgraduate: Zouya Supervisor: Prof.liu li zhong Abstract Objective: From retrospective case analysis study,to explore the effect of adenoidal hypertrophy on otorhinolaryngolgy diseases in children,in order to diagnose and treat as early as,decrease complication.Methods : 252 cases of adenoidal hypertrophy from May,2007 to May,2008 have been reviewed,to have illness coming on sex,age,clinical manifestation,diagnosis,treatment and prognosis carry on statistics and clinical analysis and discussion.Result: There were 149males(59.12%) and 103 females(40.88%).The age range from 1 year 9 momths to 14 years,under the age of 10 years among them,account for 88.3%(3 years to 6 years66.7%).Snoring disease group in 252 cases account for 210 cases,is No.1; nasal obstruction group account for82 cases,is No.2; hearing lose account for 52 cases,is No.3.Acoustic impedance exa mination in 168 cases indicated that nomal cases account for 44.64%,anomal cases account for 55.36%.in no aural region symptom102cases of 200 cases, acoustic impedance examination indicated that impairment in double ears account for 28.71%,24.21% in single ear.After adenoidectomy and relative treatment in 252 cases,we have statistical anagsis to see prognosis about Snoring disease group,nasal obstruction group, hearing