鼻内镜下腺样体切除治疗儿童慢性咳嗽疗效分析

Endoscopic surgery for chronic cough owing to adenoid hypertrophy in children

目的:探讨鼻内镜下腺样体切除治疗儿童慢性咳嗽的疗效及安全性。方法:对慢性咳嗽儿童行鼻内镜检查,筛选出腺样体肥大并感染患儿39例,全麻下行鼻内镜下腺样体切除。结果:39例患儿中,29例痊愈,8例好转,2例手术前后无明显变化,转诊儿科,诊断咳嗽变异性哮喘(CVA),收儿科治疗。总有效率为95%。结论:对于腺样体肥大并常有感染的患儿,行鼻内镜下腺样体切除治疗继发性慢性咳嗽是合理和有效的。

Objective： To explore the effect and security of endoscopic adenoidectomy in treatment of chronic cough in children. Method： Thirty-nine patients who presented chronic cough were subsequently found by nasal endoscopy to have adenoid hypertrophy and they were subjected to endoscopic adenoidectomy, Result： Followed up for 6-24 months, 29 cases were cured, 8 had improvement, and 2 had not significantly changed. Conclusion： Endoscopic adenoidectomy is effective and reliable for chronic cough of children induced by adenoid hypertrophy combined with infection.