经鼻内镜儿童腺样体肥大高频电刀凝固手术29例体会

目的探讨鼻内镜下高频电刀凝固术治疗儿童腺样体肥大的可行性。方法对29例患有腺样体肥大的儿童在鼻内镜直视下使用自制的高频电刀头进行凝固治疗。结果本组患者鼻塞、耳闷及张口呼吸等症状均获得明显改善,无术中或术后出血、咽鼓管咽口闭锁等并发症,随访3~6个月无腺样体残留复发。结论鼻内镜直视下儿童腺样体肥大高频电刀凝固术具有无出血、无残留、创伤小、手术时间短、安全性高、设备简单等优点,适合基层医院推广使用。

Experience of child adenoidal hypertrophy treated by high frequency electrocoagulation under nasal endoscopy in 29 cases

Objective To explore the feasibility of the treatment by high frequency electrocoagulation under nasal endoscopy on adenoidal hypertrophy in children.Methods Twenty nine cases of adenoidal hypertrophy in children performed high frequency electrocoagulation under nasal endoscopy.Results The clinical improvement was significant including nasal obstruction,aural fullness,and breathing with mouth.There was no obvious complication of hemorrhage,postoperative hemorrhage,adenoid remnant,and atresia of pharyngeal opening of eustachian tube.All cases were followed up for 3~6 months,and there was no recurrence.Conclusion The treatment by high frequency electrocoagulation under nasal endoscopy on adenoidal hypertrophy in children has the advantages,such as no hemorrhage,no residue,slight trauma,short operative time,good security,simple equipments,which is suitable for basic level hospitals.