查詢結果分析
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頁籤選單縮合
題名 | Congenital Choanal Atresia: Computed Tomographic and Clinical Findings=先天性後鼻腔閉鎖症:電腦斷層及臨床表現 |
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作者 | 許昭禹; 李瑤華; 徐劍耀; Hsu, Chao-yu; Li, Yiu-wah; Hsu, Jane Chein-yao; |
期刊 | 中華民國小兒科醫學會雜誌 |
出版日期 | 19990100、19990200 |
卷期 | 40:1 民88.01-02 |
頁次 | 頁13-17+57 |
分類號 | 417.685 |
語文 | eng |
關鍵詞 | 後鼻腔閉鎖症; 電腦斷層; Choanal atresia; Computed tomography; |
中文摘要 | 先天性後鼻腔閉銷症是一種發育上罕見的異常,其特徵為後鼻腔無法和鼻咽相交 通;它可以表現為 CHARGE association(C,眼睛某部份裂開; H,心臟疾病;A,後鼻腔閉 銷症;R,生長及發育遲緩;G,生殖器發育不全;和 E,耳朵畸形及 / 或耳聾 ) 的一員。 本研究是要評估先天性後鼻腔閉銷症之電腦斷層表現。本研究包括六位罹患後鼻腔閉銷症的 病人 (四位女性、兩位男性,年齡範圍從一天至八週大, 平均年齡為 13.8 天 ),以電腦斷 層掃描檢查來評估其後鼻腔閉銷之本質、原度及位置。電腦斷層掃描能夠清楚地描繪出後鼻 腔閉銷症完整的解剖學異常。在這六位病人當中,三位 (佔 50%) 為雙側膜性閉銷,兩位 ( 佔 33%) 為雙側骨性閉鎖,而一位 (佔 17%) 為單側 (左側 ) 膜性閉鎖。 此外,有兩位 ( 佔 33%) 病人 (一位為雙側膜性閉鎖,另一位為雙側骨性閉鎖 ) 符合 CHARGE association 之六項診斷標準中的至少四項。電腦斷層掃描檢查在先天生後鼻腔閉鎖症的診斷和治療方向 上,佔有舉足輕重之地位;它應是評估新生兒鼻腔阻塞最重要的檢查工具。 |
英文摘要 | Congenital choanal atresia is a rare developmental anomaly characterized by failure of communication of the posterior nasal cavity with the nasopharynx. It may present as a component of the CHARGE association (C, coloboma; H, heart disease; A, atresia choanae; R, retarded growth and development; G, genital hypoplasia; and E, ear anomalies and/or deafness). The purpose of this study is to evaluate the computed tomographic (CT) appearance of membranous or bony type congenital choanal atresia. Six patients (4 females, 2 males; age range, 1 day to 8 weeks; mean, 13.9 days) with choanal atresia were included in this study and evaluated by CT scan. The CT clearly delineated the full anatomic abnormalities of choanal atresia. Among the 6 patients, three (50%) had bilateral membranous atresia, two (33%) had bilateral bony atresia, and one (17%) had unilateral (left) membranous atresia. Additionally, two (33%) patients (1 bilateral membranous atresia, 1 bilateral bony atresia) fit at least four of the six criteria in the CHARGE association. The CT plays a significant role in the diagnostic and therapeutic approach to congenital choanal atresia and should be the examination method of choice to evaluate neonates with nasal obstruction. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。