声学鼻测量法用于评估腺样体肥大：一项系统综述
Acoustic rhinometry for the assessment of adenoid hypertrophy: A systematic review.
文献信息
| PMID | 42772239 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Christian Calvo-Henríquez |
| 作者单位 | Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS)., Paris, France; Service of Otolaryngology. Hospital Complex of Santiago de Compostela., Santiago de Compostela, Spain. |
| 期刊 | International journal of pediatric otorhinolaryngology |
| SCI 分区 | Q2 |
| IF | 1.7 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 腺样体肥大是儿童常见疾病，也是上气道阻塞的主要原因，与睡眠呼吸障碍、复发性中耳炎和慢性鼻窦炎相关。尽管鼻内镜是最广泛使用的诊断工具，但其侵入性以及在中间病例中与功能性阻塞相关性有限，凸显了对替代方法的需求。声学鼻测量法（AR）是一种非侵入性技术，可测量鼻和鼻咽几何结构，可能克服传统评估的若干局限性。
目的： 系统综述声学鼻测量法在儿科患者腺样体肥大诊断和评估中作用的证据。
方法： 按照PRISMA和AMSTAR-2指南进行系统综述，并注册了PROSPERO方案。检索了PubMed、Cochrane Library、EMBASE、Scopus、SciELO和Trip Database，截止至2023年12月。纳入评估AR在腺样体肥大儿童中应用的临床研究。结局包括鼻咽面积和体积、最小横截面积以及腺样体切除术后的变化。
结果： 13项研究共650名参与者（563名患者和87名对照）符合纳入标准。大多数研究表明患者与对照之间存在显著差异，并且AR测量值与通过内镜、放射学或切除组织评估的腺样体大小之间存在中度至强相关性。大多数研究还报告腺样体切除术后鼻咽尺寸显著增加。然而，没有研究评估重测信度或评分者间信度，且将AR与鼻阻塞或症状相关联的证据有限。
结论： 声学鼻测量法是一种有前景、快速且非侵入性的辅助方法，用于评估腺样体肥大。然而，缺乏标准化方案、儿科正常数据以及与功能性阻塞的明确相关性限制了其当前临床应用。在推荐常规使用之前，需要进一步设计良好的研究。
英文摘要
BACKGROUND: Adenoid hypertrophy is a common condition in children and a leading cause of upper airway obstruction, associated with sleep-disordered breathing, recurrent otitis media, and chronic rhinosinusitis. Although nasal endoscopy is the most widely used diagnostic tool, its invasiveness and limited correlation with functional obstruction in intermediate cases highlight the need for alternative methods. Acoustic rhinometry (AR) is a non-invasive technique that measures nasal and nasopharyngeal geometry and may overcome several limitations of conventional assessments.
OBJECTIVE: To systematically review the evidence on the role of acoustic rhinometry in the diagnosis and evaluation of adenoid hypertrophy in pediatric patients.
METHODS: A systematic review was conducted following PRISMA and AMSTAR-2 guidelines, with a registered PROSPERO protocol. PubMed, Cochrane Library, EMBASE, Scopus, SciELO, and Trip Database were searched up to December 2023. Clinical studies evaluating AR in children with adenoid hypertrophy were included. Outcomes included nasopharyngeal area and volume, minimal cross-sectional area, and changes after adenoidectomy.
RESULTS: Thirteen studies encompassing 650 participants (563 patients and 87 controls) met inclusion criteria. Most studies demonstrated significant differences between patients and controls and moderate to strong correlations between AR measurements and adenoid size assessed by endoscopy, radiography, or excised tissue. The majority also reported significant increases in nasopharyngeal dimensions following adenoidectomy. However, no studies evaluated test-retest or inter-rater reliability, and evidence correlating AR with nasal obstruction or symptoms was limited.
CONCLUSIONS: Acoustic rhinometry is a promising, rapid, and non-invasive adjunct for assessing adenoid hypertrophy. Nevertheless, the lack of standardized protocols, normative pediatric data, and clear correlations with functional obstruction limits its current clinical implementation. Further well-designed studies are required before routine use can be recommended.