鼻内镜下经口儿童腺样体切除术74例报告

74 cases on Resection of Adenoidal Hypertrophy in Children by Nasal Endoscope with Oral Incision Approach

目的:总结鼻内镜下经口儿童腺样体切除术的优缺点。方法:选取腺样体肥大需手术的患儿74例在鼻内镜直视下,经口使用电动切割器切除腺样体,对其疗效与以往传统术式进行分析比较。结果:全部病例术后夜间打鼾、鼻塞等症状消失,无鼻腔黏膜损伤、鼻腔粘连,无鼻出血、咽鼓管圆枕损伤等并发症。结论:采用鼻内镜下经口行腺样体切除术能彻底解除鼻咽部后鼻孔阻塞,创伤小,且并发症少,手术疗效较好。

Objective： To investigate the clinical effect of adenoidal hypertrophy resection in children by nasal endoscope with oral incision approach. Methods： 74 children with adenoid hypertrophy were treated using dynamic cutter with an oral incision approach under nasal endoscope. Compare the clinical effects with the traditional surgery group.Results： The surgery eliminated snoring and nasal obstruction. All the patients had no other complications such as injury of nasal mucosa, synechia nasal, epistaxis, damage of torus tubarius after operation.Conclusion： The resection of adenoidal hypertrophy in children by nasal endoscope with oral incision approach has the following advantages： relieving nasal obstruction, small trauma, less complication and better clinical effects.