2023 S2k 指南:腺样体肥大的诊断和治疗

2023-07-25 HNO 发表于上海

腺样体肥大是腺样体(咽扁桃体)的增大,与鼻咽部的机械性阻塞和/或慢性炎症过程有关。

中文标题:

2023 S2k 指南:腺样体肥大的诊断和治疗

英文标题:

Adenoid hypertrophy—​diagnosis and treatment: the new S2k guideline

发布机构:

发布日期:

2023-07-25

简要介绍:

当出现机械性阻塞和/或慢性炎症的鼻咽症状时,应考虑咽扁桃体的病理性增生。慢性咽鼓管功能障碍可导致传导性耳聋、胆脂瘤、复发性急性中耳炎等多种中耳疾病。检查时,应注意是否存在腺样体面容(长脸综合征),即嘴巴永久张开,舌尖可见。如果症状严重和/或保守治疗失败,腺样体切除术通常在门诊进行。传统刮宫术仍然是德国既定的标准治疗方法。组织学评估适用于粘多糖贮积症的临床证据。由于存在出血风险,术前进行出血调查问卷,这是每次小儿手术前必须进行的操作。尽管腺样体切除术正确,腺样体仍有可能复发。出院回家前,应对鼻咽部进行耳鼻喉科检查是否有继发性出血,并获得麻醉许可。

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拓展阅读

患儿腺样体肥大,别着急手术,可以先试试保守治疗!

腺样体肥大作为儿童的常见病、多发病,不仅引起儿童颌面部发育异常,也是儿童分泌性中耳炎、慢性鼻窦炎,儿童 OASHS的主要病因之一,对儿童生理心理发育和认知功能均有重要影响。

【影像诊断】腺样体肥大的诊断及测量标准

腺样体是位于鼻咽腔顶部、蝶骨体底和枕骨斜坡颅外面的一团淋巴组织。平时也称为:增殖腺、咽扁桃体、Luschka扁桃体等。此环特殊的位置成为吸入性或摄入性抗原最早接触部位,是呼吸道第一道防御门户。

【解读分享】儿童腺样体肥大中医临床实践指南

此次制定明确指南适用范围、规范性引用文件、术语和定义、诊断、辨证、治疗、预防和调护,以期为儿童腺样体肥大中医临床实践、诊疗规范等提供重要参考。

腺样体肥大患儿,凝血异常,是否该手术呢?

患儿,男,3岁,家属诉患儿于2年前无明显诱因开始出现睡眠时打鼾,伴咳嗽,偶有憋气,伴张口呼吸。年初来我院行电子鼻咽镜检查示:鼻咽顶壁腺样体遮挡后鼻孔>2/3。未行特殊治疗。

Eur Arch Otorhinolaryngol:通过互联网搜索检测腺样体肥大、鼻炎和过敏性鼻炎的流行病学的相关性

腺样体肥大(AH)是儿童阻塞性睡眠呼吸暂停(OSA)最常见的原因。AH的发病机制尚不清楚,但它与许多因素有关,如吸烟、季节性过敏和呼吸道感染。之前的研究已经证实了AH和鼻窦炎之间的关系,针对AH的治疗

Int J Pediatr Otorhinolaryngol:腺样体肥大对渗出性中耳炎儿童患者听力阈值的影响研究

渗出性中耳炎是一种常见的中耳粘膜疾病,能够引起儿童听力损失。腺样体肥大除了引起渗出性中耳炎之外,还能够引起复发性急性中耳炎。最近,有研究人员调查了腺样体肥大对渗出性中耳炎儿童患者听力阈值的影响。研究包括了50名年龄在5-15岁的儿童,共88只耳朵。在500?Hz、1000?Hz和2000?Hz时平均空气传导阈值均值在腺样体组织大小分组1-4组中分别为22?dB HL、20?dB HL、15?dB

儿童腺样体肥大中医临床实践指南

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