腺样体肥大切除术320例分析

Adenoidectomy for Adenoid Hypertrophy:An Analysis of 320 Cases

目的比较鼻内镜下经鼻腔腺样体切除术、鼻内镜下经口腔腺样体切除术及传统经口腔腺样体刮除术治疗腺样体肥大的效果。方法回顾性分析2008年10月至2015年8月320例腺样体肥大患儿的临床资料。按治疗方法的不同分为3组,即鼻内镜下经鼻腔腺样体切除术组(A组,n=115)、鼻内镜下经口腔腺样体切除术组(B组,n=125)及传统经口腔腺样体刮除术(C组,n=80),比较3组的手术效果及并发症。结果 A组、B组、C组有效率分别为93.91%、95.20%、80.00%,C组有效率明显低于其他2组(P<0.05);A组、B组、C组的并发症发生率分别为8.70%、0.00%、13.75%,B组并发症发生率明显低于其他2组(P<0.05)。结论鼻内镜下经口腔腺样体切除术治疗儿童腺样体肥大,是一种准确、安全、快速、有效,并发症少的方法。

Objective To compare the efficacies of transnasal endoscopic adenoidectomy,transoral endoscopic adenoidectomy and conventional transoral denoid curettage in the treatment of adenoid hypertrophy.Methods Clinical data of 320 children treated for adenoid hypertrophy between October 2008 to August 2015 were analyzed retrospectively.These children underwent transnasal endoscopic adenoidectomy(group A,n=115),transoral endoscopic adenoidectomy(group B,n=125)or conventional transoral denoid curettage(group C,n=80).Surgical efficacies and complications were compared among the three groups.Results The effective rate in group C(80.00%)was significantly lower than that in group A(93.91%)or group B(95.20%)(P<0.05).Moreover,the incidence of complications in group B(0.00%)was significantly lower than that in group A(8.70%)or group C(13.75%)(P<0.05).Conclusion Transoral endoscopic adenoidectomy provides an accurate,safe,quick and effective therapeutic approach with few complications for pediatric adenoid hypertrophy.