成人腺样体肥大20例临床分析

目的：探讨成人腺样体肥大的诊断及治疗方法。方法：对２０例Ⅰ￣Ⅲ度腺样体肥大的成人患者做鼻内窦镜及病理检查，给予保守及手术治疗。结果：病理报告慢性皮炎症７例，慢性炎症伴组织增生３例，１０例保守治疗无效，６例传统手术者随访１年２例复发，４例鼻内窥镜下腺体切除微波热凝术随访１年无复发。结论：成人腺样体可呈不同程度的增生，在光镜下与儿童腺样体有差异。治疗应以手术为主，鼻内窥镜下腺切除微波热凝术是一种安全有

Clinical analysis of 20 cases of adenoidal hypertrophy in adult

OBJECTIVE: To discuss the diagnosis and properly treatment to the adult adenoidal hypertrophy. METHOD: To do nasal endoscopic and pathologic exam to all the 20 symptomatic patients before conservative or operative treatment. RESULT: The results of exam under endoscope were that 8 patients were hypertrophy I, 8 hypertrophy II, 4 hypertrophy III. Pathologic exam: 7 acute and chronic inflammation, 13 chronic inflammation with hyperplasia. Treatment: 10 of them received conservative treatment all have negative result. 6 received traditional operation, 2 of them reoccurred within 1 year. 4 received adenoidectomy and microwave treatment under nasal endoscope, all have good result in the next 1 year. CONCLUSION: Some adults have different sizes of adenoidal hypertrophy. This hypertrophy is different with children's under the pathologic microscope. Operative treatment especially the nasal endoscopic adenoidectomy and microwave treatment is a safe and effective method.