鼻内镜下儿童腺样体切除术的并发症及其预防

目的：探讨鼻内镜下儿童腺样体切除术出现的并发症及其预防方法。 方法：对215例腺样体肥大的患儿实行鼻内镜下腺样体切除术，术后随访1~6月。总结术中及术后出现的并发症及处理方法。结果：术后患儿临床症状消失或减轻，而并发症出现情况为：鼻出血10例，鼻腔粘连30例，腺样体术后增生1例。 结论：鼻内镜下腺样体切除术在直视下进行，视野清楚，操作方便，手术时间短。但术者仍需警惕可能出现的并发症，尽量加以避免。

Complication and prevention of transnasal endoscopic adenoidectomy in children

ObjectiveTo discuss the complication and the prevention of transnasal endoscopic adenoidectomy in children.MethodsA total of 215 children patients with adenoid hypertrophy were treated with transnasal endoscopic adenoidectomy and were followed up for 1~6 months postoperatively. We summerized the complication and their management.ResultsThe children had a disappearance or relief of their clinical symptoms and manifestations after endoscopic adenoidectomy. Involved complication included 10 nose bleedings, 30 nasal synechia, 1 adenoidal regrowth.ConclusionEndoscopic adenoidectomy is performed under direct and clear view that allows surgeons to operate conveniently and shorten surgical time. Surgeons still have to be alert to these complications and try to avoid them.