70°鼻内窥镜在经口腔直视下腺样体刮除手术中的应用价值  

Application Value of 70°Nasal Endoscope in Adenoidectomy Through Oral Cavity

作　　者：卢碧霞 钟达均 管志伟 LU Bi-xia;ZHONG Da-jun;GUAN Zhi-wei(Dongguan Chashan Hospital,Guangdong Dongguan 523380)

机构地区：[1]东莞市茶山医院,广东东莞523380

出　　处：《深圳中西医结合杂志》2021年第18期173-175,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨70°鼻内窥镜经口腔直视下腺样体刮除手术的应用价值。方法:选取2017年10月至2018年10月期间东莞市茶山医院收治的100例腺样体肥大患儿,以随机数字表法分为两组,对照组和观察组各50例。对照组采用传统腺样体刮除术治疗,观察组采用70°鼻内窥镜经口腔直视下腺样体刮除手术治疗,比较两组治疗效果、手术时长、术中出血量、住院时长以及并发症发生率。结果:观察组患儿治疗总有效率相对于对照组更高,手术时长、术中出血量、住院时长并发症发生率相对于对照组均更低,差异具有统计学意义(P<0.05)。结论:70°鼻内窥镜经口腔直视下腺样体刮除手术治疗腺样体肥大患儿效果较好,可有效缩短手术与住院时间,减少出血量,改善患儿临床症状,降低并发症发生率。Objective To explore the application value of 70°nasal endoscope in oral adenoidectomy.Methods 100 children with adenoid hypertrophy treated in Dongguan Chashan hospital from October 2017 to October 2018 were randomly divided into two groups,50 in the control group and 50 in the observation group.The control group was treated with traditional adenoidectomy,and the observation group was treated with adenoidectomy under direct oral vision through 70°nasal endoscope.The treatment effect,operation time,intraoperative bleeding,length of hospital stay and incidence of complications were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the length of operation,the amount of intraoperative bleeding,the length of hospitalization and the incidence of complications were lower than those of the control group(P<0.05).Conclusion 70°nasal endoscopic adenoidectomy under direct oral vision is effective in the treatment of children with adenoidal hypertrophy.It can effectively shorten the operation and hospital stay,reduce the amount of bleeding,improve the clinical symptoms and reduce the incidence of complications.

关 键 词：腺样体刮除手术 70°鼻内窥镜 儿童 

分 类 号：R762[医药卫生—耳鼻咽喉科]