鼻内镜下微创切除腺样体  

Minimal invasive adenoidectomy under nasal endoscopy

作　　者：李建瑞[1] 王宇 汤秀贤[1] 赵阳[1] 肖明明[1] 王自胜[1] 史丽[3] 张寒冰[3] 

机构地区：[1]北京市垂杨柳医院,北京100022 [2]解放军北京军区263医院,北京101149 [3]山东大学齐鲁医院,济南250012

出　　处：《山东大学耳鼻喉眼学报》2007年第6期535-536,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：北京市垂杨柳医院科研启动基金(200703);北京市朝阳区社会发展基金(200715);2007年北京市朝阳区引进国内;外人才项目基金(200712)

摘　　要：目的探讨鼻内镜下电动吸切器切除腺样体的技术优势。方法在鼻内镜下行经鼻腔、口腔径路吸割腺样体50例，治疗由腺样体肥大引起的儿童慢性鼻窦炎、睡眠呼吸障碍和咽鼓管功能障碍。结果术后腺样体切除彻底，无残留，鼻咽部结构显示良好，无出血、无咽鼓管损伤等并发症发生。随访6～12个月，患者睡眠打鼾、鼻阻塞、流脓涕及听力障碍等症状均消失或明显缓解。结论该法增加了手术的安全性和准确性，提高了疗效，减少了手术并发症。Objective To explore the advantages of minimal invasive adenoidectomy with an electrical cutter with suction under nasal endoscopy. Methods 50 children with chronic sinusitis, sleep respiratory disorder or hearing loss induced by adenoid hypertrophy were subjected to adenoideetomies through the nose and month under nasal endoscopy. Results The adenoid gland was completely removed and the normal anatomic character was not destroyed. Conclusions This double- route adenoidectomy under nasal endoscopy provides a direct and clear view for accurately and effectively removing the adenoid tissue with less complications.

关 键 词：腺样体切除术 内窥镜检查 腺样体肥大 

分 类 号：R765.1[医药卫生—耳鼻咽喉科]