鼻内镜下低温等离子射频切除儿童腺样体肥大

Endoscopic Low-temperature Radiofrequency Resection for Children Adenoid Hypertrophy

目的探讨鼻内镜下低温等离子射频切除儿童腺样体肥大的疗效。方法回顾性分析2008年6月～2009年12月诊治的80例儿童腺样体肥大患者的临床资料,全部患者均在鼻内镜下实施低温等离子射频切除术,术后观察疗效。结果所有患者腺样体均完整切除,术中出血量为1～10mL,平均约4.5mL,术后无出血及鼻咽粘连、分泌性性中耳炎等并发症,患者痛苦小,恢复快。随访6个月～1.5年,患者鼻窦炎、睡眠阻塞、中耳炎等明显好转,电子鼻咽镜检查无腺样体增生和残留。结论鼻内镜下低温等离子射频切除儿童肥大腺样体,具有安全、出血极少、易操作、疗效好等优点,在临床上是治疗儿童腺样体肥大的一种有效方法,值得推广。

Objective To evaluate the effect of endoscopic surgery using the low-temperature radioffequency resection for children adenoid hypertrophy. Methods 80 patients treated between June 2008 and December 2009 under endoscopic surgery using the low-temperature plasma radiofrequency were retrospectively studied. Results All adenoid hypertrophy in 80 patients were completely removed the bloodloss was 1 -10mL and the average blood loss was about 4.5mL.No postoperative bleeding and the nasopharyngeal adhesion, secretory otitis media and other complications in patients with pain and rapid recovery. All patients were follow-up from 6 months to 1.5 years, patients with sinusitis, sleep obstruction,otitis media has markedly improved,electronic nasopharyngoscopy no adenoidal and residual. Conclusion Endoscopic low-temperature radiofrequency resection for children adenoid hypertrophy, with security, little bleeding, easy, effective and good advantage in the clinical treatment of children with adenoidal hypertrophy is an effective method, should be promoted.