成人腺样体肥大的诊断及治疗  

Diagnosis and treatment of adenoidal hypertrophy in adults

作　　者：底瑞青[1] 齐景翠[1] 赵玉林[1] 娄小平[2] 叶琳[1] 王鑫[1] 

机构地区：[1]郑州大学第一附属医院鼻科,河南郑州450052 [2]郑州大学第一附属医院护理部,河南郑州450052

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第5期374-376,382,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的分析成人腺样体肥大的临床特征与治疗。方法回顾性分析112例成人腺样体肥大患者的临床资料,其中90例行鼻内镜下腺样体低温等离子射频消融术,22例采用保守疗法治疗,采用鼻内镜评分、鼻咽腔容积测量及对症状改善进行评价,观察两种治疗方法的疗效。结果患者治疗后均随访6个月以上,鼻内镜评分及鼻咽腔容积较前明显改善,差异具有统计学意义,两种治疗方法的症状缓解总有效率均大于85.5%。结论正规保守疗法及鼻内镜下低温等离子消融术在成人腺样体肥大治疗中均有良好效果,对II度及以上患者应首选手术治疗,鼻内镜下低温等离子消融术在成人腺样体肥大中值得推广。Objective To investigate the diagnosis and treatment of adenoidal hypertrophy in adults. Methods Clinical data of 112 adult patients with adenoidal hypertrophy were analyzed retrospectively. Of them,90 patients received endoscopic adenoidectomy with low temperature plasma, and 22 were treated conservatively. Endoscopy score,nasopharyngeal cavity volume（ NPV） measurement,and evaluation of symptom improvement were adopted to observe therapeutic effect on both groups. Results Six months after treatment,endoscopy scores and NPV had obviously improved with statistically significant differences between before and after treatment（ both P 0. 05） in both groups,and their effective rates were greater than 85. 5%. The difference of effective rate between the two groups was statistically significant（ P 0. 05）. Conclusions Both regular conservative treatment and low temperature plasma ablation have good effect on the treatment of adenoidal hypertrophy in adult patients. Surgical treatment is preferred for adult adenoidal hypertrophy of degree II and above. Endoscopic low temperature plasma ablation in adults adenoid hypertrophy is worthy of promotion.

关 键 词：成人腺样体 诊断 治疗 低温等离子消融 

分 类 号：R766.5[医药卫生—耳鼻咽喉科]