鼻内镜下等离子小儿腺样体切除临床观察  

Endoscopy-assisted Plasm Radiofrequency Adenoidectomy in Children

作　　者：许建峰[1] 王英[1] 吴建华[1] 王会河[1] 贾玉芬[1] 王建华[1] 

机构地区：[1]山东省滨州市人民医院耳鼻咽喉科,256610

出　　处：《中国临床实用医学》2008年第8期28-29,共2页China Clinical Practical Medicine

摘　　要：目的探讨鼻内镜下应用等离子技术切除肥大腺样体的疗效。方法对61例腺样体肥大合并分泌性中耳炎、OSAHS和慢性鼻-鼻窦炎的患儿在鼻内镜直视下行等离子性等离子腺样体切除术，并辅以鼓膜穿刺、扁桃体切除、上颌窦穿刺等治疗，观察术后疗效。结果术后随访6～18个月，21例（41耳）分泌性中耳炎患儿中20例痊愈，1例未愈；25例OSAHS和15例慢性鼻-鼻窦炎患儿均痊愈。结论鼻内镜下应用等离子技术切除腺样体具有视野清楚、创伤小、定位准确、安全性高，是一种较先进的治疗方法。Objective To observe the effects of plasm radiofrequency therapy in the treatment of adenoid hypertrophy under endoscope. Methods Sixty-one children of hypertrophied adenoid with otitis media with effusion, OSAHS and pediatric chronic rhinosinusitis were treated under endoscopy-assisted plasm radiofrequency therapy. Results All children had been followed for 6 - 18 months,20 children （40ears） with otitis media with effusion cured, one uncured ;25 children with OSAHS and 15 with pediatric chronic rhinosinusitis cured. No adenoid was residual and no complication occurred. Conclusion Utilizing plasm radiofrequency in the treatment of adenoid hypertrophy under endoscope had the advantages of direct and clear view of surgical area that allows the surgeons to remove adenoids accurately and avoid damage of normal nasopharyngeal structures, obvious curative effect, easy to operate and high safety, mini invasive and with few complication.

关 键 词：腺样体切除术 鼻内镜 等离子 手术 

分 类 号：R766[医药卫生—耳鼻咽喉科]