内镜引导下经鼻入路腺样体切除78例临床分析  

Adenoidectomy under endoscopy through the nose in 78 cases

作　　者：韩学锋[1] 李学忠[1] 魏晓[1] 张磊[1] 

机构地区：[1]山东大学齐鲁医院耳鼻咽喉-头颈外科,济南250012

出　　处：《山东大学耳鼻喉眼学报》2010年第3期47-49,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：山东省自然科学基金项目(Y2006C54)

摘　　要：目的探讨内镜引导下、经鼻入路联合电动切割综合动力系统进行腺样体切除的技术要点和疗效分析。方法确诊为腺样体肥大儿童78例,2~13岁,主诉睡眠打鼾、憋气、张口呼吸71例,鼻塞、流涕5例,长期耳闷、听力下降2例,于全麻下行内镜引导下经鼻入路腺样体切除术。结果手术时间平均28m in,术中出血平均10mL,无原发性和继发性出血、咽鼓管损伤等手术并发症。术后平均随访1年,患者症状明显好转,无鼻腔粘连、腺样体肿大等发生。结论内镜引导下经鼻入路联合电动切割综合动力系统腺样体切除术具有术野清晰,切除准确,止血彻底,效果良好的特点。Objective To assess the technical points and therapeutic effects of adenoidectomy via a tran-snasal endoscopic approach.Methods 78 children aging from 2 to 13 years were diagnosed as having adenoidal hypertrophy,of which 71 cases complainted about snoring,breath holding and mouth breathing,5 had nasal congestion and runny nose and 2 had hearing loss in the long-term.All the children received adenoidectomy directed by an endoscopic approach via trans-oral under general anesthesia.Results The average time in surgery was 28 minutes,the average bleeding during surgery was 10 ml,but there were no primary and secondary bleeding or tubal damage.During a one-year follow-up,there was significant improvement in all the symptoms and no nasal adhesion and recurrence happened.Conclusion Adenoidectomy directed by an endoscopic approach via transoral in combination with integrated power systems are effective to get a clear operative field,accurate removal and complete hemostasis.

关 键 词：腺样体肥大 腺样体切除术 鼻内镜外科手术 综合动力系统 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]