鼻内窥镜下儿童腺样体吸割术探讨  

Discussion of cases with adenoid vegetation by electrical adenoid cutter with suction under nasal endoscopy

作　　者：崔颖[1] 谷京城[1] 王雪峰[1] 康健[1] 徐立国 

机构地区：[1]锦州医学院附属一院耳鼻咽喉科,辽宁锦州121000 [2]辽宁省瓦房店市中医院,辽宁瓦房店116300

出　　处：《中国内镜杂志》2005年第6期590-591,594,共3页China Journal of Endoscopy

摘　　要：目的探讨鼻内窥镜治疗儿童腺样体肥大的方法和疗效。方法回顾性分析196例儿童腺样体肥大手术患者的临床资料,采用气管插管全麻,在3mm30°鼻内窥镜下行腺样体吸割术。结果全部患儿术后打鼾、张口呼吸、鼻塞等症状均不同程度地减轻或者消失,104例患者半年后复查腺样体无残留。结论在鼻内窥镜引导下腺样体吸割术方法更为简单,疗效更加确切,出血少,针对性强,适宜临床推广使用。[Objective] To discuss the optimal operative and therapeutic method of adenoid vegetation in children assisted by the nasal endoscopy. [Methods] 196 cases were retrospectively analyzed. All the cases were diagnosed and cut adenoid vegetation in general anesthesia with electrical adenoid cutter with suction under nasal endoscopy. [Results] After the surgery, all the patients′ nasopharynxes were smooth and flat without snoring, nasal obstruction. No adenoid existed for 104 patients. [Conclusions] It is approved that the cure rate is higher. It has more advantages for example: easily controlled, convenient, accurate, no by-effect and no complication. It is worthy of spreading and using in clinic.

关 键 词：鼻内窥镜 腺样体肥大 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]