鼻内镜下腺样体切除3种术式分析  

Analysis of three surgical methods of nasal endoscopic adenoidectomy

作　　者：姜霞[1] 黄定强[1] 徐艳红[1] 田君海[1] 

机构地区：[1]四川省雅安市人民医院,四川雅安625000

出　　处：《现代中西医结合杂志》2010年第12期1439-1440,1523,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的比较鼻内镜下经鼻腺样体切除术(TEA1)、鼻内镜下经口腺样体切除术(TEA2)、内镜辅助经口腺样体切除术(ETA)的优缺点。方法分析340例接受腺样体肥大手术患者的临床资料,比较3种术式的手术效果和并发症情况。结果3种手术方式有效率比较无显著性差异(P均>0.05)。腺样体残留TEA1组5例,ETA组2例,TEA2组0例;鼻腔粘连TEA1组5例,TEA2组3例,ETA组0例。3组并发症比较有显著性差异(P均<0.05)。结论ETA具有手术效果好、对患者损伤小、并发症少的优点,是治疗腺样体肥大的首选术式。Objective It is to compare the advantages and disadvantages of endoscopic nasal adenoidectomy （TEA1）, endoscopic adenoidectomy by mouth （TEA2） and endoscopeassisted oral adenoidectomy （ETA）. Methods The clinical data of 340 surgical patients with adenoidal hypertrophy was collected, and the effects and complications of three kinds of surgical method were compared. Results There were non-statistics significant difference on total effective rates of three methods （P〉0.05）. There were 5 cases in TEA1 group, 2 cases in ETA group and none in TEA2 group with adenoid residue; and were 5 cases in TEAl group, 3 cases in TEA2 group and non in TEA group who with nasal cavity adhesion. There were significant differences on complications among three groups （P 〈 0.05 ）. Conclusion ETA can receive a good result with little injury and fewer complications. It is the preferred surgical treatment of adenoidal hypertrophy.

关 键 词：腺样体肥大 鼻内镜 腺样体切除术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]