鼻内镜下用切割吸引器行腺样体切除术治疗儿童分泌性中耳炎的临床研究

Clinical research in treatment of children secretory otitis media with Do adenoidectomy with cutting aspirator under endonasal scope

目的探讨鼻内镜用切割吸引器行腺样体切除术治疗儿童分泌性中耳炎的临床疗效。方法本研究共50例(96耳),采用气管插管吸入加静脉复合全身麻醉,在4.0mm0度鼻内镜下用切割吸引器行50例腺样体切除术,10例同时行扁桃体切除术。结果50例随访半年,38例(76耳)听力明显改善,纯音听阈恢复正常,声导抗检查"A"型图。结论在鼻内镜下用切割吸引器行腺样体切除术治疗儿童分泌性中耳炎,方法简单,疗效确切,无并发症,无副作用。

[Objective] To discuss the clinical effects of treating children secretory odds media by adenoidectomy with cutting aspirator under endonasal scope. [Method] 50 patients （96 ears） had trachea cannula imblbitions plus intravenous combined anesthesia. 50 cases had adenoidectomy with cutting aspirator under endonasal scope of 4.0 mm. Meanwhile, 10 tonsillectomies were performed. [Result] 50 cases were followed up for 6 months. Auditions of 38 patients （76 ears） were obvious improved, pure tone was back to normal and acoustic immittance examination ＂A＂ figure. [Conclusion] Treating children secretory otitis media by adenoidectomy with cutting aspirator under endonasal scope is simple and effective, which had no complication or side effects.