慢性腺增大症儿童的内镜分级,放射学分级和临床特征:一项相关研究
Nawal Thazhathe Peedikakkal1, D R Surya Prakash1, C Chandrakiran1
1Department of Otorhinolaryngology and Head and Neck Surgery, Ramaiah Medical College Hospital, Bangalore, Karnataka 560054 India.
概括
鼻腔内镜比X射线更准确地评估儿童慢性腺缩. 内镜分级与临床症状和严重程度的相关性比放射测量更好.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿科放射学 儿科放射学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 慢性腺缩严重影响儿童的健康,导致鼻腔阻塞和复发性鼻炎等症状.
- 精确评估腺增大是有效的治疗规划至关重要的.
- 现有的诊断方法,包括X射线和鼻腔内镜,与临床表现有不同程度的相关性.
研究的目的:
- 为了将内镜检测结果,放射学评估和症状慢性腺缩的儿童的临床特征相关联.
- 确定最准确的方法来评估儿科患者腺增大症的严重程度和临床意义.
主要方法:
- 一项涉及42名儿科患者 (3-14岁) 的横截面研究,这些患者有症状的慢性腺增大.
- 数据收集包括历史记录,耳鼻腔检查,刚性鼻腔内镜 (ACE分级) 和侧面X射线鼻 (腺体-鼻比率).
- 在内镜,放射学和临床发现之间进行了相关性分析.
主要成果:
- 观察到男性占主导地位,口腔呼吸,打和鼻腔阻塞是常见的症状.
- 内镜分级与临床分级的相关性比X射线分级更强.
- 虽然X射线的腺-鼻比率与内镜分级和门阻塞相关,但鼻腔内镜在评估临床意义和尤斯塔希管参与方面更准确.
结论:
- 鼻腔内镜是评估儿童临床显著腺缩症的黄金标准.
- 内镜分级比X射线测量更可靠,用于评估腺体大小及其对症状的影响.
- 临床相关性与内镜发现更好,突出了其在诊断准确性的优越性.
相关概念视频
Gastroesophageal Reflux Disease II: Clinical Features and Management
120
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
120
Esophageal Strictures-II: Clinical Features and Management
114
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
114
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
33
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
33
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
237
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
237
Chronic Pharyngitis
3.1K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
3.1K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.1K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.1K


