鼻内镜辅助腺样体切除术与常规腺样体刮除术的疗效比较

Comparative study on the therapeutic effect of endoscope-assisted trans-oral adenoidectomy with classic adenoidectomy on adenoid hypertrophy

目的比较鼻内镜辅助经口腺样体切除术与常规腺样体刮除术的疗效。方法腺样体肥大患儿36例,其中19例接受鼻内镜辅助经口腺样体切除术,17例施行常规腺样体刮除术,比较两种术式的疗效。结果常规腺样体刮除术治疗组中5例存在腺样体残留,鼻内镜辅助经口腺样体切除术组无1例有腺样体残留。结论鼻内镜辅助经口腺样体切除术式是治疗腺样体肥大的最佳手术方法。

Objective To investigate the therapeutic effect of surgical procedures on cases with adenoidal hypertrophy performed either by endoscope-assisted trans-oral adenoidectomy（EATOA） or by classic trans-oral surgery with adenoid curet（TOSAC）.Methods Thirty-six children cases with adenoid hypertrophy were included in this study,with 19 operated on by EATOA and 17 operated on by TOSAC.Then,a comparative analysis was carried out to explore the differences in therapeutic effects, such as symptoms improving in hearing, snoring, nasal obstruction and rhinorrhea and the rate of adenoidal residue, on these cases received different surgical procedures by the end of hospitalized period. Results It was certain by the end of therapeutic course that the no one was found with adenoidal residue among the cases received the operation of EATOA, while 5 were seen with adenoidal residue among the cases received the surgery of TOSAC. Conclusion Endoscope-assisted trans-oral adenoidectomy should be the most appropriate surgical procedures for the treatment of adenoid hypertrophy.