Kev tshawb fawb tshawb nrhiav kev sib txuas ntawm tonsil hypertrophy thiab kev loj hlob ntawm cov menyuam yaus

Suav teb: Cov kws tshawb fawb Inter-departmental ntawm Fudan University tau ua qhov kev tshawb fawb hla ntu los tshawb txog kev sib koom tes ntawm tonsil hypertrophy nrog rau kev txhim kho menyuam yaus dentofacial.

Nyob rau hauv xyoo tas los no, txoj kev ua pa sab sauv (UA) cuam tshuam kev pw tsaug zog tsis zoo ua tsis taus pa (SDB) tau raug txheeb xyuas tias yog ib qho tseem ceeb rau kev nthuav dav ntawm dentofacial deformity - uas tau tshaj tawm ntau ntxiv txij li xyoo 1960.

Muab hais tias tonsil hypertrophy tshwm sim feem ntau ntawm cov menyuam yaus, cov kws tshawb fawb xav tshawb nrhiav kev sib raug zoo ntawm tonsil hypertrophy thiab pediatric dentofacial deformity ntawm cov menyuam yaus hauv Shanghai.

Stratified pawg sampling

Lub npe hu ua "Lub Koom Haum ntawm Tonsil Hypertrophy nrog Pediatric Dentofacial Development: Cov pov thawj los ntawm Kev Tshawb Fawb Txog Kev Tshawb Fawb ntawm Cov Menyuam Yaus hauv Shanghai, Tuam Tshoj", txoj kev tshawb fawb tau luam tawm nyob rau lub Kaum Hlis qhov teeb meem ntawm Nature of Science thiab Sleep Journal.

Pab neeg tshawb fawb tau txais cov qauv tsim qauv thiab cov qauv txheej txheem rau Suav version ntawm OSA-18 cov lus nug thiab kev kuaj qhov ncauj. Obstructive Pw tsaug zog Apnea-18 (OSA-18) yog ib daim ntawv nug "zoo-ntawm-lub neej" uas ntsuas kev pw tsaug zog ua tsis taus pa cuam tshuam txog kev ua neej zoo ntawm cov neeg mob.

"Kev tshawb fawb hla ntu tau muab qhov tseeb ntawm qhov txawv txav ntawm cov hniav hauv cov menyuam yaus ntawm Shanghai thiab piv rau ntau qhov kev pheej hmoo, suav nrog tonsil hypertrophy thiab SDB cov teeb meem," hais tias cov sau phau ntawv.

Siv cov txheej txheem stratified pawg sampling, lawv tau ua tus qauv piv txwv ntawm 715 tus menyuam yaus (8-10 xyoo). OSA-18 cov lus nug zoo ntawm lub neej (OSA-18) tau ua tiav los ntawm lawv cov neeg saib xyuas. Kev kuaj qhov ncauj tau ua los ntawm cov kws kho hniav tshwj xeeb. Cov lus piav qhia thiab kev txheeb xyuas tau khiav los ntawm cov software txheeb cais (SPSS, version 26.0).

715 tus menyuam yaus (334 tus tub thiab 381 tus ntxhais) tau koom nrog kev tshuaj xyuas. Tam sim no qhov tshwm sim ntawm malocclusion txheeb xyuas los ntawm Angle qhov kev faib tawm yog 45.6% hauv cov qauv no.

Tsis muaj kev sib raug zoo

Cov kws tshawb fawb pom tias tsis muaj kev sib raug zoo ntawm OSA-18 cov qhab nia thiab dentofacial abnormalities (P> 0.05). Nrog rau qhov loj ntawm tonsil loj, qhov feem pua ​​​​ntawm cov menyuam yaus nrog daim duab peb sab hniav arch (P <0.05) thiab siab vault palate (P <0.001) tau nce siab dua.

Ntau tus menyuam yaus uas muaj cov kab mob protruding thiab tsawg dua qhov ncaj ncees tau pom raws li qhov loj ntawm tonsil nce, txawm hais tias nws tsis qhia qhov sib txawv (P = 0.103).

Tam sim no qhov ntau ntawm malocclusion nyob rau hauv cov hniav sib xyaw tau tshwm sim ntau dua nyob rau hauv kev sib piv nrog cov kev tshawb fawb ntawm Suav cov menyuam yaus (35.42%) hauv xyoo 2002, tab sis sib piv nrog qhov kwv yees tag nrho ntawm qhov muaj feem ntau ntawm malocclusion hauv Suav cov menyuam kawm ntawv xyoo 1991 txog 2018 (47.92%).

"Qhov ntau dua ntawm overjet, overbite, thiab crossbite tuaj yeem pom piv rau cov ntaub ntawv," cov kws sau ntawv sau tseg.

"Occlusion hauv cov hniav sib xyaw tsis ruaj khov vim qhov tawg tsis tiav, thiab qhov malocclusion no yuav raug kho tus kheej nrog kev loj hlob ntawm mandible."

Raws li cov kws tshawb fawb, qhov kev soj ntsuam no yuav raug ntaus nqi rau qhov tsis sib xws ntawm hnub nyoog, thaj chaw, haiv neeg, lub sijhawm ntawm cov qauv xaiv, kev sib txawv ntawm cov txheej txheem, thiab kev tshaj tawm kev tsis ncaj ncees.

"Nws tau lees paub thoob plaws ntiaj teb tias feem ntau ntawm dentofacial deformity tau nce ntau xyoo hauv cov menyuam yaus, xav tau kev tshawb fawb txog kev sib kis thiab kev cuam tshuam zoo," lawv hais ntxiv.

Tsis txaus tsom rau tonsil o

Ua ke lawv cov txiaj ntsig nrog cov ntaub ntawv tam sim no, pab pawg ntseeg tias qhov mob hnyav ntawm cov kab mob tonsil loj tuaj yeem yog qhov qhia tau tseem ceeb rau SDB thiab kev loj hlob ntawm cov hniav, yuav tsum muaj kev tiv thaiv thiab cuam tshuam kev kho mob thaum ntxov.

Dentofacial deficiency tsis tsuas yog cuam tshuam ntau lub luag haujlwm tab sis kuj txuas ncaj qha nrog tus menyuam lub neej tag nrho, hais tias pab pawg.

"Cov teeb meem ntawm cov kab mob dentofacial txawv txav tshwm sim los ntawm adenoid hypertrophy tau ua rau muaj kev txhawj xeeb ntau dua li kaum xyoo dhau los ntawm cov niam txiv thiab kws kho mob hauv zej zog," lawv hais ntxiv.

"Txawm li cas los xij, qhov loj ntawm tonsil tsis tau tsom txaus. Peb thov kom muaj kev siv zog ntxiv los ntawm tsoomfwv hauv nroog thiab cov neeg saib xyuas kev noj qab haus huv txhawm rau txhim kho kev tshaj tawm pej xeem thiab kev kawm txog kev tiv thaiv thiab cuam tshuam kev ntsuas rau kev cuam tshuam ntawm cov hniav dentofacial. "

Txoj kev tshawb no yog ua los ntawm cov kws tshawb fawb los ntawm ntau lub tuam tsev kho hniav ntawm Fudan University, suav nrog: Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob, Tsev Kho Mob Shanghai Stomatological & Tsev Kawm Ntawv ntawm Stomatology; Shanghai Key Laboratory ntawm Craniomaxillofacial Development thiab Kab Mob; Department of Pediatric Dentistry, Shanghai Stomatological Tsev Kho Mob & Tsev Kawm Ntawv ntawm Stomatology; Department of Preventive Dentistry, Shanghai Stomatological Tsev Kho Mob & Tsev Kawm Ntawv ntawm Stomatology.

Nyeem tag nrho tsab xov xwm “Lub koom haum ntawm Tonsil Hypertrophy nrog Pediatric Dentofacial Development: Cov pov thawj los ntawm Kev Tshawb Fawb Txog Kev Tshawb Fawb ntawm Cov Menyuam Yaus hauv Shanghai, Suav".