等离子低温射频消融在二次腺样体手术中的应用

Plasma radiofrequency ablation in treatment of recurrence of adenoidal hypertrophy

目的:探讨应用等离子低温射频消融系统,切除经传统腺样体刮除术后复发的腺样体的临床疗效和意义。方法:应用等离子低温射频消融系统,结合间接喉镜直视下切除残留或复发腺样体50例。结果:术后随访≥2年,患儿打鼾明显减弱或消失,听力明显改善。结论:应用等离子低温射频消融系统,结合间接喉镜直视下切除经传统腺样体刮除术后复发的腺样体,术野清晰,切除精确,出血少,手术时间短,周围组织无损伤,并发症少,恢复较快。

Objective：To investigate the long-term outcome and clinical value of utilizing plasma radiofrequency ablation under indirect laryngoscope in treatment of recurrence of adenoidal hypertrophy. Method：Fifty patients with recurrence of adenoidal hypertrophy were subjected to the operation designed by our group. Result：The period of follow-up was more then 2 years. All patients were free of snore postoperatively; conductive hearing loss was improved as well. Conclusion： Operation with plasma radiofrequency ablation had advantages of direct and clear view of surgical area, accurate remove of adenoids, non-bleeding, avoiding damage of normal nasopharyngeal structure structures, minimal invasion, high safety, and little complication, in treatment of recurrence of adenoidal hyoertrophy.