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소아 비폐색 환자의 수술 전후 비저항치 변화에 대한 연구
한병상,유태선,유영근,홍영호,김춘길,김훈 중앙대학교 의과대학 의과학연구소 1992 中央醫大誌 Vol.17 No.1
Nasal obstruction is one of the most common complaints in pediatric otolarygology. Generally nasal obstruction is caused by anatomic abnormalities of the nasal cavity, inflammation of the nasal from patient to patient. The size of the nasopharyngeal airway and adenoids on the symptom pharygeal wall has been asseaaed by clinical inspection with the posterior rhinoscopy. However, this inspection may be difficult to carry out in childern and has limited value in physiologic aspect. I can measeure the nasal obstruction objectively and raliably with rhinomanometry. 32 patients with nasal obstruction were evaluated preoperatively and postoperativeley. We compared the effects of the two types of surgery by measuring the total nasal resistance(TNR) of rhinomanometry (Rion SR-11) during inspiration. The results were as folloes ; 1) The group who undewent tonsillectomy, adenoidectomy and submucous diatermy had more significant improvement of symptoms than the group who underwent just tosillectomy and adenoidectomy(p<0.05). 2) The preoperative TNR of all the patients during inspiration was 0.360Pa/㎤/sec and 0.275Pa/㎤/sec in postoperative period(p<0.01). The group who underwent tonsillectomy and adenoidectomy had a preoperative TNR OF 0.377Pa/㎤/sec and postoperative TNR OF 0.292Pa/㎤/sec. The group who underwent tonsillectormy, adenoidectormy and submucous diathermy had a preoperative TNR of 0.348Pa/㎤/sec. This changed into a postoperative TNR of 0.261Pa/㎤/sec (p<0.01). 3) This difference of the TNR between preoperative group and postoperative group was statistically significant(P<0.01).