鼻内镜下腺样体吸切术对咽鼓管周围组织的处理  

Management of the lymphatic tissue around the Eustachian tube orifice during endoscopic adenoidectomy

作　　者：张继东[1] 张扬[1] 李宏伟 金占国[1] 陈伟[1] 

机构地区：[1]空军总医院耳鼻咽喉头颈外科,北京100142 [2]解放军第二八一医院耳鼻咽喉科,河北北戴河066105

出　　处：《中国耳鼻咽喉头颈外科》2009年第9期510-512,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的总结鼻内镜下腺样体吸切术在处理咽鼓管咽口周围结构的临床经验。方法回顾分析26例腺样体肥大伴分泌性中耳炎的临床疗效。着重探讨对咽鼓管扁桃体和咽鼓管圆枕后方肥大淋巴组织的处理方法。结果鼻内镜下腺样体吸切术术后治愈率和好转率较常规腺样体刮除术高(P<0.05)。结论鼻内镜直视下用弯头外侧开口吸切头经口腔入路切除腺样体对于清除咽鼓管周围淋巴组织具有明显优势,对于改善咽鼓管通气功能甚为重要,而且降低了咽鼓管咽口损伤的可能。OBJECTIVE To discuss the effective and safe method to manage the ambient lymphatic tissue of Eustachian tube orifice by microdebrider during endoscopic adenoidectomy.METHODS Twenty-six cases with secretory otitis media caused by adenoid hypertrophy were operated on by endoscopec adenoidectomy using microdebrider（13/26） and orthodox curettage of adenoids（13/26）.The results of the two methods were compared.RESULTS There was a significant difference in cure rates between the two methods.The adenoid gland was removed completely and the anatomic configuration of nasopharynx was well after endoscopec adenoidectomy by microdebrider. CONCLUSION Endoscopic adenoidectomy by microdebrider provides a direct and clear view that allows the surgeon to remove adenoid tissue accurately and effectively with few complications.

关 键 词：腺样体切除术 内窥镜检查 手术后并发症 咽鼓管 

分 类 号：R766[医药卫生—耳鼻咽喉科]