鼻口联合动力系统腺样体吸割术治疗腺样体肥大96例

Combined Power System and Adenoid Suction Cutting Operation in the Treatment of 96 Cases of Adenoidal Hypertrophy

目的:探讨鼻内窥镜下鼻口联合动力系统腺样体切除术在腺样体肥大治疗中的临床应用价值。方法:将192例腺样体肥大患者随机分为观察组和对照组各96例,观察组采用鼻内窥镜下鼻口联合动力系统腺样体切除术,对照组采用常规腺样体刮除术。结果:观察组总有效率93.75%,对照组总有效率81.25%(P<0.01),随访期间,观察组未见并发症发生病例,对照组有10例患者出现腺样体组织残留(P<0.01)。结论:鼻内窥镜下鼻口联合动力系统腺样体切除术避免了常规操作的盲目性,术野清晰、切除完全、减少了术后并发症的发生。

Objective：To study the endoscopic and combined power system of adenoidectomy in the treatment of adenoid hypertrophy and clinical application value.Methods：192patients with adenoidal hypertrophy were randomly divided into the observation group and the control group with 96 cases in each group,the observation group was treated with nasal endoscopic combined power system and adenoidectomy,the control group using conventional curettage of adenoids.Results： the total effective rate in the observation group and 93.75% in control group,the total efficiency of 81.25%（P0.01）,during the follow-up period,there were no complications were observed,while in the control group 10 cases with adenoid tissue residue（P0.01）.Conclusion：nasal endoscopic and combined power system adenoidectomy avoids the blindness of operation,clear surgical field,was resected completely,reduce the occurrence of postoperative complications.