腺样体切除治疗儿童上呼吸道咳嗽综合征33例

Treatment of child upper airway cough syndrome with adenoidectomy in 33 cases

目的探讨腺样体切除治疗儿童上呼吸道咳嗽综合征的疗效及安全性。方法2005年6月至2007年3月对158例慢性咳嗽患儿行鼻内镜检查,将腺样体肥大合并咽后壁有脓性分泌物的33例列为本组病例,即上呼吸道咳嗽综合征伴腺样体肥大合并感染者,对这些患者在全身麻醉下行鼻内镜下腺样体切除术,分析腺样体切除对缓解患儿咳嗽的疗效。结果术后随访6～24个月,痊愈24例,好转8例,无效1例,总改善率(包括痊愈和好转例数)为97%。结论鼻内镜下腺样体切除术治疗上呼吸道咳嗽综合征伴腺样体肥大合并感染积极、合理、切实有效。

Objective To explore the therapeutic effect and safety of endoscopic adenoidectomy on child upper airway cough syndrome. Methods Endoscopic test was performed in 158 patients with chronic cough from June 2005 to March 2007. Thirty-three cases were selected as patients with upper airway cough syndrome and adenoid hypertrophy who showed adenoid hypertrophy combined with purulent secretion on the posterior wall of pharynx and were treated with endoscopic adenoidectomy. The curative effect of the surgery on cough relief was analysed. Results All patients were followed up for 6 to 24 months. Twenty-four patients were fully recovered, 8 showed relieved and only one case had no effect. The total effective rate was 97%. Conclusions Endoscopic adenoidectomy could serve as an effective method for the treatment of child upper airway cough syndrome combined with adenoid hypertrophy.