鼻内镜下儿童腺样体切除术113例报道

目的探讨鼻内镜下经口儿童腺样体切除术的疗效。方法回顾分析腺样体肥大患儿113例,在鼻内镜直视下,经口电动切削器切除腺样体,对其疗效与传统术式进行比较。结果术后随访1年,全部患儿术后打鼾、鼻塞等症状消失,无出血、鼻腔黏膜损伤、咽鼓管口狭窄、鼻腔粘连等并发症。结论鼻内镜下经口行腺样体切除术能彻底解除鼻咽部阻塞,创伤小,并发症少,手术疗效好。

113 Cases on Resection of Adenoidal Hypertrophy in Children by Nasal Endoscope

Objective To investigate the clinical effect of adenoidal hypertrophy resection in children by nasal endoscope with oral incision approach. Methods Retrospective analysis 11Gcmidren with adenoid hypertrophy were treated using dynamic cutter with an oral incision approach under nasal endoscope. Compare the clinical effecots with the traditional surgery group. Results In the revisit of 1 year, The surgery eliminated snoring and nasal obstruction. All the patients had no other complications such as epistaxis, injury of nasal mucosa, torus tubarius stricture,synechia nasal, after operation. Conclusion The resection of adenoidal hypertrophy in children by nasal endoscope with oral incision approach has the following advantages： relieving nasal obstruction, small trauma, less complication and better clinical effects.