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间接喉镜直视下腺样体刮除术
引用本文:赵晖,刘建平,戴春富. 间接喉镜直视下腺样体刮除术[J]. 临床耳鼻咽喉头颈外科杂志, 2006, 20(8): 346-347
作者姓名:赵晖  刘建平  戴春富
作者单位:复旦大学眼耳鼻喉科医院耳鼻咽喉科,上海,200031;复旦大学眼耳鼻喉科医院耳鼻咽喉科,上海,200031;复旦大学眼耳鼻喉科医院耳鼻咽喉科,上海,200031
摘    要:目的:探讨间接喉镜直视下腺样体刮除术的治疗效果和实用价值。方法:56例患者在全身麻醉下行间接喉镜直视下腺样体刮除术。术中用导尿管悬吊软腭并用血管钳钳夹导尿管。利用间接喉镜暴露腺样体并于直视下刮除腺样体。结果:术后患者打鼾明显改善甚至消失,听力明显提高,鼻流脓减少,鼻塞减轻。所有患者术中出血20-50ml,无术后出血现象。手术时间5~20min。无术后并发症出现。结论:间接喉镜直视下腺样体刮除术是一种简单易行、经济实惠的手术方法,并且非常安全有效。

关 键 词:腺样体刮除术  腺样体肥大  喉镜
文章编号:1001-1781(2006)08-0346-02
收稿时间:2005-06-10
修稿时间:2005-06-10

Adenoidectomy under indirectly visualization with laryngoscope
ZHAO Hui,LIU Jianping,DAI Chunfu. Adenoidectomy under indirectly visualization with laryngoscope[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2006, 20(8): 346-347
Authors:ZHAO Hui  LIU Jianping  DAI Chunfu
Affiliation:Department of Otolaryngology, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, 200031, China.
Abstract:Objective:To describe the easy-performed, cost-effective adenoidectomy under indirect laryngoscope visualization.Method:Fifty-six patients were undergone adenoidectomy. Intra-operatively, soft palate was retracted with catheter, adenoid was indirectly visualized using laryngoscope and removed with adenoid curette.Result:All patients were free of snore postoperatively, conductive hearing loss was improved as well. In addition, hearing threshold was stable in two patients with inner ear malformation postoperatively. The blood loss was 20~50 ml, the surgical time was 5~20 min. No patient complained of blood bleed and other complications postoperatively.Conclusion:Adenoidectomy under indirect laryngoscope visualization is easy-performed, cost-effective surgical procedures. As well, it is safe and satisfied with surgeons and patients.
Keywords:Adenoidectomy   Hypertrophy adenoid   Laryngoscope
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