摘要
目的探讨鼻内镜下腺样体切除术的可行性及较传统腺样体切除的优点。方法对125例腺样体肥大患儿施行了鼻内窥镜下腺样体切除术,并进行了相关的临床研究。50例先行传统的腺样体切除,观察残留情况,再在鼻内镜下对残留腺体进行彻底切除;其余75例采用鼻内镜下经口腔行腺样体切除术,进行随访,观察疗效。结果先行传统腺样体切除术50例中,47例存在腺样体残留,然后在鼻内镜下将残留腺样体彻底切除;其余75例患儿术后腺样体均无残留。全部患儿术后症状消失或明显减轻。结论用鼻内镜能在直视下手术,避免了操作的盲目性,增加了手术安全性和准确性,手术疗效明显,减少了手术并发症。
Objective To explore the feasibility of excision operation on adenoids under nasoendoscopy, and its advantages compared with the traditional excision methods. Methods Excision operations under nasoendoscopy were underwent in 125 child patients with adenoid hypertrophy. Fifty cases of excision operations in adenoids were performed in the traditional way, and then residual adenoids were observed and thoroughly excised under nasoendoscopy. And 75 patients underwent adenoids excisions through oral cavity and were follow-uped. Results Of 50 cases, 47 cases had residual adenoids, which were thoroughly excised under nasoendoscopy. Of 75 child patients,all had no residual adenoids after excisions, and the post-operative symptoms disappeared or obviously alleviated. Conclusion Using nasoendoscopy the operation can be performed in the direct view. The method can avoid blind operation, in- crease operation safety and accuracy, improve curative effect and reduce the operation complication.
出处
《山西医科大学学报》
CAS
2007年第6期545-546,共2页
Journal of Shanxi Medical University
