经口鼻内窥镜下小儿腺样体刮除术的临床研究

The clinical research about transoral endoscopic-assisted adenoidectomy for children

目的探讨经口鼻内窥镜辅助行小儿腺样体刮除术与传统的腺样体刮匙切除术两种术式的疗效,术后残留或复发率高低及其优劣。方法64例患儿随机分为观察组（33例）和对照组（31例）,观察组采用经口鼻内窥镜辅助行小儿腺样体刮除术。对照组用传统的腺样体刮匙切除术切除腺样体,随访3个月～1年,比较两组治疗总有效率及术后残留或复发率高低。结果观察组与对照组治疗总有效率分别为96.9%和90.3%,两组比较,差异无显著意义（x=2.25P〉0.05）。观察组与对照组术后残留或复发率分别为9.1%和41.9%,两组比较,差异有显著意义（x=9.2P〈0.05）。结论经口鼻内窥镜辅助行小儿腺样体刮除术直观,术野清晰,手术彻底,术后残留或复发率低,值得推广。

Objective To discuss the effects of transoral endoscopic-assisted adenoidectomy for children and traditional adenoidectomy, the remains or the rafe of recurrence and the good and the bad about it after the operation. Methods Sixty-four sick children were divided into an experimentral group （ n = 33 ） and a control group （ n = 31 ）, the experimentral group were performed the trasoral endoscopic-assisted adenoidectomy for children ,the control group were performed the traditional adenoidectomy, all cases were following up 3 months to one year, compare the totel therapeutic effective rates and the remains or the height of recurrence after the operation. Results Total effective rates of the two groups were 96.9% and 90. 3 %, respectively, with no significant difference found between the two groups （x = 2.25 P 〉 0. 05） , the remains or the rate of recurrence between the experimentrol group and the control group were 9% and 41.9%, respectively, with a significant difference found between the two groups （x = 9. 2 P 〈 0. 05 ）. Conclusion The transoral endoscopic-assisted adenoidectomy for children has the adventage of direct, clear and open visualization, thorough curetting adenoid or low rate of recurrence worth spead.