腺样体铲除术对咽鼓管功能影响的研究

目的:观察鼻内镜下经口腔腺样体铲除术与传统腺样体铲除术对腺样体肥大患者咽鼓管功能的影响。方法:选取诊断为腺样体肥大且不伴中耳炎的住院患者为研究对象,分别采用鼻内镜下经口腔腺样体铲除术和传统腺样体铲除术,在治疗前及治疗3个月后分别检测咽鼓管功能。结果:2组患者治疗前咽鼓管功能检查无统计学差异,治疗后与术前相比,2组均有统计学差异;治疗后2组之间差异也有统计学意义。结论:鼻内镜下经口腔腺样体铲除术和传统腺样体铲除术均可改善腺样体肥大患者的咽鼓管功能,且鼻内镜下经口腔腺样体铲除术对咽鼓管功能的改善优于传统腺样体铲除术。

The effect of adenoidectomy in defferent operative methods on the function of eustachian tube

Objective:To compare the effect of two different approaches in curettage of adenoid hypertrophy on eustachian tube function:the endoscopic assisted transoral adenoidectomy,and the traditional transoral curette adenoidectomy.Method:Clinical data of adenoid hypertrophy patients who underwent surgery therapy were prospectively analyzed;Eustachian tube function were compared among them.Result:Both traditional curettage of adenoids through mouth(group TCA) and endoscopic assisted transoral adenoidectomy(group ETA) significantly improved eustachian tube function(P<0.01),while group ETA seemed to have a better outcomes(P<0.01).Conclusion:Both traditional curettage of adenoids through mouth and the endoscopic assisted transoral adenoidectomy can significantly improve eustachian tube function,and the endoscopic assisted transoral adenoidectomy produces a better outcome.