摘要
目的探讨鼻或喉内窥镜下行鼻咽腺体切除术在临床上的可行性和优越性。方法对19例需行鼻咽腺体切除术的患者全身麻醉后用鼻或喉内窥镜暴露鼻咽腺体后用XPS电动切割器经口在直视下切除鼻咽腺体组织,1例是经鼻切除突入鼻腔内的腺体组织后再经口切除余下腺体,并渗出性中耳炎、鼻窦炎鼻息肉、OSAS等同时行手术治疗。结果所有增殖的鼻咽腺体均可在直视下一次性彻底切除,术中出血少,术后检查鼻咽部各结构标志清,黏膜光滑,无粘连发生。结论内窥镜下行鼻咽腺体切除术可直视下操作,创伤少,可在临床上应用和适当推广。
Objective: To investigate that endoscopic-assisted adenoidectomy is feasible and efficient. Methods: 19 patients undergoing adenoidectomy were evaluated with an endoscopic technique. A routine transoral or transnasal adenoidectomy was performed. In 1 case, transnasal endoscopic-assisted adenoidectomy was performed and adenoid in nasal cavity was removed, and then the rest were removed transorally. Result: Endoscopic-assisted adenoidectomy could eliminate hypertrophy adenoid, was not associated with excessive bleeding and was minimally invasive. Conclusion: Endoscopic-assisted adenoidectomy is a simple and minimally invasive. The endoscopic technique is advocated for use as a good adjunct to a complete adenoidectomy.
出处
《中国内镜杂志》
CSCD
2004年第7期58-59,共2页
China Journal of Endoscopy
