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*

摘要： 目的 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面的应用价 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 研究。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%）。在不同年龄段中，上气道病变因素分布有所不同，差异有统计学意义（P <0.05）。结论 鼻咽 喉内镜检查在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，为临床精准诊治提供良好 帮助，是一种安全有效的检查方法，在临床上值得推广使用。
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 tonsillitis (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. It is a safe and effective examination method, worthy of clinically promotion.