鼻内镜下低温等离子射频切除儿童腺样体肥大

目的探讨鼻内镜下低温等离子射频切除儿童腺样体肥大的疗效。方法回顾性分析2008年6月～2009年12月诊治的80例儿童腺样体肥大患者的临床资料,全部患者均在鼻内镜下实施低温等离子射频切除术,术后观察疗效。结果所有患者腺样体均完整切除,术中出血量为1～10mL,平均约4.5mL,术后无出血及鼻咽粘连、分泌性性中耳炎等并发症,患者痛苦小,恢复快。随访6个月～1.5年,患者鼻窦炎、睡眠阻塞、中耳炎等明显好转,电子鼻咽镜检查无腺样体增生和残留。结论鼻内镜下低温等离子射频切除儿童肥大腺样体,具有安全、出血极少、易操作、疗效好等优点,在临床上是治疗儿童腺样体肥大的一种有效方法,值得推广。

Endoscopic Low-temperature Radiofrequency Resection for Children Adenoid Hypertrophy

Objective To evaluate the effect of endoscopic surgery using the low-temperature radiofrequency resection for children adenoid hypertrophy.Methods 80 patients treated between June 2008 and December 2009 under endoscopic surgery using the low-temperature plasma radiofrequency were retrospectively studied.Results All adenoid hypertrophy in 80 patients were completely removed the bloodloss was 1～10mL and the average blood loss was about 4.5mL.No postoperative bleeding and the nasopharyngeal adhesion,secretory otitis media and other complications in patients with pain and rapid recovery.All patients were follow-up from 6 months to 1.5 years,patients with sinusitis,sleep obstruction,otitis media has markedly improved,electronic nasopharyngoscopy no adenoidal and residual.Conclusion Endoscopic low-temperature radiofrequency resection for children adenoid hypertrophy,with security,little bleeding,easy,effective and good advantage in the clinical treatment of children with adenoidal hypertrophy is an effective method,should be promoted.