鼻内窥镜在经口腺样体刮除术中的应用  

Application of nasal endoscopy in conventional adenoidectomy

作　　者：范献良[1] 王岩[1] 王欣[1] 汤树海[1] 

机构地区：[1]山东大学卫生部耳鼻喉科学重点实验室,济南250012

出　　处：《山东大学基础医学院学报》2002年第5期263-264,共2页Journal of Preclinical Medicine College of Shandong Medical University

摘　　要：目的 :探讨将鼻内窥镜技术用于经口腺样体刮除术的可行性和优缺点。方法 :在鼻内窥镜及电视监视下行经口腺样体刮除术 4 0例 ,治疗由腺样体肥大引起的睡眠呼吸障碍、咽鼓管功能障碍和鼻阻塞并随访。结果 :术后腺样体切除干净 ,无残体存留 ,鼻咽部及鼻后孔结构显示良好 ,无出血、咽鼓管损伤等并发症发生 ,随访 1～ 36个月 ,患者睡眠打鼾、呼吸暂停、鼻阻塞及听力障碍等症状均消失或明显缓解。结论 :本法使传统腺样体刮除术能在直视下进行 ,增加了手术的安全性和准确性 ,病变去除更加彻底 ,既提高了手术疗效 ,又减少了并发症的发生。Objective: To probe into the possibility, advantages and disadvantages of utilizing nasal endoscopy in conventional adenoidectomy. Methods: Forty cases with sleep respiratory disorder, hearing loss and nose block caused by adenoid hypertrophy were operated adenoidectomy through mouth under endoscopy and video monitoring. Result: The adenoid gland was removed completely and the anatomic configuration of nasopharynx as well as choana were well viewed after operation. All cases were recovered without complications. Conclusion: The use of endoscope provides a direct and clear view that allows the surgeon to remove adenoid tissue more accurately and effectively with less complications.

关 键 词：增殖腺切除术 鼻内窥镜 治疗结果 经口腺样体刮除术 

分 类 号：R765.05[医药卫生—耳鼻咽喉科]