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中华口腔医学研究杂志(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 123 -127. doi: 10.3877/cma.j.issn.1674-1366.2023.02.010

儿童口腔疾病专栏·综述

儿童腺样体肥大的诊断与筛查技术进展现状
张浩霖1, 张旭1, 梁昆2, 金作林1, 高洁1,()   
  1. 1. 军事口腔医学国家重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院口腔正畸科,西安 710032
    2. 陕西省人民医院耳鼻喉科,西安 710068
  • 收稿日期:2022-10-30 出版日期:2023-04-01
  • 通信作者: 高洁

Advances in diagnosis and screening of adenoid hypertrophy in children

Haolin Zhang1, Xu Zhang1, Kun Liang2, Zuolin Jin1, Jie Gao1,()   

  1. 1. State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Orthodontics, School of Stomatology, Air Force Military Medical University, Xi′an 710032, China
    2. Department of Orthodontics, Shaanxi Provincial People′s Hospital, Xi′an 710068, China
  • Received:2022-10-30 Published:2023-04-01
  • Corresponding author: Jie Gao
  • Supported by:
    Key Research and Development Program of Shaanxi Province(2022SF-227, 2021SF-050); National Clinical Research Center for Oral Diseases(LCA202009, LCB202202); New Technologies and new Business of School of Stomatology, Air Force Medical University Fund(LX2022-401)
引用本文:

张浩霖, 张旭, 梁昆, 金作林, 高洁. 儿童腺样体肥大的诊断与筛查技术进展现状[J/OL]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 123-127.

Haolin Zhang, Xu Zhang, Kun Liang, Zuolin Jin, Jie Gao. Advances in diagnosis and screening of adenoid hypertrophy in children[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(02): 123-127.

本文介绍了腺样体肥大的一般临床表现,尤其是对儿童发育的不良影响,简述了腺样体肥大诊断方法技术路线的发展历程,着重回顾各种诊断技术的应用,并比较分析其优缺点。腺样体扁桃体肥大的诊断方法较为多样,目前应用最广泛的头颅侧位片定量测量;随着技术的进步,能提供三维特征的锥形束CT(CBCT)和磁共振成像(MRI)也逐渐走进临床医生的视野,如何充分利用这些三维信息是目前研究的关注点之一;除此之外,超声、面部摄影等无创检查手段也取得了不错的诊断效果。随着计算机技术的发展,人工智能辅助诊断也是目前的研究热点之一,与传统手段相比,人工智能自动诊断速度显著提高,准确度也在不断提高。

Adenoid hypertrophy is a common disease that damages the growth of children. In this article, its clinical symptoms and the development, advantages and disadvantages of its diagnostic techniques were reviewed. Currently, the most widely used technique is cephalometry. With the advancement of technology, CBCT and MRI providing 3D information are coming into use, and how to fully take advantage of the 3D information is one of the concerns. In addition, non-invasive examination techniques such as ultrasonography and facial photography can be used. With the development of computer technology, artificial intelligence-aided diagnosis is one of the hotspots. Compared with traditional methods, the speed and accuracy of automatic diagnosis by artificial intelligence have been improved significantly.

图1 头颅侧位片A/N值及后气道间隙(PAS)的测量示意图 A:腺样体厚度,即腺样体最凸点到枕骨斜坡前缘切线的距离;N:鼻咽宽度,即硬腭后上缘到翼板与颅底交点的距离;PAS:上气道宽度软腭表面与腺样体之间的最小距离。
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