改良经口径路鼻内镜下腺样体切除术的临床研究

Study of modified adenoidectomy by oral approach under endoscope

目的探讨改良经口径路鼻内镜下腺样体切除术的优点。方法将笔者所在医院2008年3月至2009年6月期间拟接手术治疗的58例腺样体肥大患儿随机分成两组,分别施以常规的和改良的经口径路鼻内镜下腺样体切除术,对其疗效和术后并发症进行观察。结果问卷调查结果显示两种术式疗效无差异,有效率均为100%。常规手术组(26例)术中术后出血5例,术后鼻咽部不适6例;改良手术组(32例)术后腺样体残留7例,无其他并发症。相同并发症组间比较,其P值均≤0.05,有统计学差异。结论改良经口径路鼻内镜下腺样体切除术具有疗效好、无严重并发症及复发倾向等优点,值得临床推广。

Objective To study advantages of modified adenoidectomy by oral approach under endoscope. Methods 58 cases who adenoidal hypertrophy from March 2008 to June 2009 were randomly divided into two groups, received modified and conventional adenoidectomy by oral approach under endoscope respectively. The efficacy and postoperative complications were observed. Results Survey results showed that there are no difference in efficacy between two Surgical, both of their efficience Were 100%. Conventional surgery group bleeding in 5 cases of 26 intraoperative or postoperative, uncomfortable in nasopharynx postoperative in six cases. Modified surgical group have residual adenoid in 7 cases of 32 postoperative, no other complications. Compare the same kind of complications between two group ,P≤0.05, the difference is statistically significant. Conclusion There are some advantages that have a good curative effect , no serious complications and recurrence tendency in modified adenoidectomy by oral approah ucnder endoscope, the surgry is recommended for clinical.