鼻内窥镜下儿童增殖体刨削术临床分析

Clinical analysis to child adenoidectomy with nasal endoscope

目的:探讨鼻内窥镜下刨削术在儿童增殖体切除中的运用。方法:对比传统手术与鼻内窥镜下刨削术的临床资料并分析。结果:传统手术14例中有4例鼻后孔残留鼾声无改善再次手术,有3例圆枕损伤,近圆枕处残留6例;5例分泌性中耳炎中2例术后声阻图B型变A型(占40%)。内镜下刨削术17例,鼾声全部消失;7例分泌性中耳炎声阻图由B型变A型5例(71.4%);无增值体残留等并发症。结论:鼻内窥镜下增殖体刨削术在电视监视下操作手术安全、快速、出血少、易掌握、无并发症,可作为儿童增殖体切除的常规手术。

Objective：To explore the effect of adenoidectomy with nasal endoscope. Method： Data of 17 cases of adenoidectomy with nasal endoscope and 14 cases of adenoidectomy with traditional operation were analyzed. Results：Among 14 cases with traditional operation,there were 4 cases who adenoid reserved and snore symptom reserved. 3 cases who pharyngotympanic tube injured,2 cases whith tympanogram show type A diagram in 5 secretory otitis media cases after operation （40%）. All the patients snore symptom disappeared and no adenoid reserved in 17 cases of adenoidectomy with nasal endoscope. 5 cases with tympanogram show type A diagram in 7 secretory otitis media cases after operation（71.4%）. Conclusion：Adenoidectomy with nasal endoscope was proved to be safe and swift as well less-sideeitect and also can be a regular operation for child adenoid vegetation.