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鼻内镜直视下腺样体切除术的临床研究
引用本文:孙文海,孙彦,李娜,孙炜.鼻内镜直视下腺样体切除术的临床研究[J].青岛大学医学院学报,2005,41(1):20-22.
作者姓名:孙文海  孙彦  李娜  孙炜
作者单位:青岛大学医学院附属医院耳鼻咽喉科,山东,青岛,266003
摘    要:①目的探讨鼻内镜在腺样体切除术中的作用,并与传统的腺样体切除术相比较。②方法采用经鼻腔内镜下腺样体切除术、经口鼻内镜下腺样体切除术两种术式,共行腺样体切除术62例,治疗因腺样体肥大引起的睡眠打鼾、鼻塞、听力下降等症。③结果术中视野清晰,术后腺样体切除干净,无残体存留。鼻咽部及后鼻孔结构显示良好,无出血及咽鼓管损伤等并发症。全组病例均随访1~3年,临床症状均消失或明显缓解。④结论鼻内镜下腺样体切除术改变了传统腺样体切除术的手术模式,使手术更直观、清晰,增加了手术的安全性和准确性,使病变切除更彻底,提高了手术疗效,减少了并发症的发生。

关 键 词:内镜检查  腺样体切除术  鼻咽
文章编号:1672-4488(2005)01-0020-03
修稿时间:2004年6月26日

CLINICAL STUDY OF ENDOSCOPIC ADENOIDECTOMY
SUN Wen-hai,SUN Yan,LI Na,et al.CLINICAL STUDY OF ENDOSCOPIC ADENOIDECTOMY[J].Acta Academiae Medicinae Qingdao Universitatis,2005,41(1):20-22.
Authors:SUN Wen-hai  SUN Yan  LI Na  
Abstract:Objective To investigate the role of endoscopic adenoidectomy and compare with that of traditional procedure. Methods Sixty-two patients with snoring, blocked nose or hearing loss caused by adenoid vegetation were treated by endoscopic adenoidectomy, of whom, 49 were operated through mouth, and 13 through nose. Results The nasopharynx could be seen clearly during the procedures. The adenoids were removed completely and the anatomic configuration of nasopharynx was well viewed after operation. No complications such as hemorrhage or injury of auditory tube were encountered. All the symptoms disappeared or relieved markedly during the follow-up period of one to three years. Conclusion Endoscopic adenoidectomy has changed the mode of traditional adenoidectomy, which provides a direct and clear view that allows the surgeon to remove adenoid tissue more accurately and effectively with few complications.
Keywords:endoscopy  adenoidectomy  nasopharynx
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