鼻内窥镜下等离子消融合并切除治疗儿童腺样体肥大

The treatment of children's adenoidal hypertrophy by plasma melting combined adenoidectomy under nasal endoscope

目的:探讨在鼻内窥镜下等离子腺样体消融合并切除术治疗儿童腺样体肥大的临床疗效。方法:局麻经内窥镜下对196例腺样体肥大患儿先用等离子双极弹头行等离子低温消融治疗,再经口以腺样体挤切器行传统腺样体刮除术。结果:术后随访6～24个月,所有患者症状消失,鼻咽粘膜光滑,鼻咽气道通畅,通气良好,无腺样体残留,无并发症出现,无症状复发。结论:在鼻内窥镜下用等离子低温消融后行腺样体切除术治疗儿童腺样体肥大准确程度高,创伤小,出血少,操作简便,无并发症,无复发,是治疗腺样体肥大安全、有效的方法。

Objective： To explore the rapeutic effect of the treatment of children＇s adenoidal hypertrophy by plasma melting combined adenoidectomy under nasal endoscope. Methods： 196 subjects under local anesthesia had their adenoid melted by plasma bipolar warhead at low temperature before traditional adenoidectomy was conducted. Results： According to the result of follow-up（usually 6 to 24 months after surgery）,all subjects had no symptoms of adenoidal hypertrophy;they showed smooth nasopharyngeal mucosa,unobstructed nasopharynx airway,no residual adenoid,postoperative complications or recurrences. Conclusion： With minor trauma and lightly bleeding,the technique of plasma melting combined adenoidectomy is easier to operate and of higher accuracy.Without postoperative complications or recurrences,and is proved to be a safe and efficient treatment of children＇s adenoid hypertrophy.