鼻内镜下低温等离子辅助腺样体切除手术并发症分析

Compfications analysis of adenoidectomy assisted with ablation under nasal endoscope

目的分析鼻内镜下低温等离子辅助腺样体切除手术的并发症情况。方法对2014年4月至2018年4月272例经鼻内镜低温等离子辅助腺样体切除手术的病例进行回顾，调查分析患者术后并发症的类型、数量、原因及处理方式。结果寰枢椎旋转畸形67例（24.63%），发热27例（9.93%），头痛11例（4.04%），术后复发4例（1.47%），术后迟发性出血1例（0.37%）。结论经鼻内镜低温等离子辅助腺样体切除技术是治疗儿童腺样体疾病的高效、微创及并发症少的好方法。寰枢椎旋转畸形是常见术后并发症，临床医生易忽视此病，给予积极对症治疗，预后良好。

ObjectiveTo analyze the complications of adenoidectomy assisted with ablation under nasal endoscope.MethodTwo hundred and seventy-two cases of adenoidectomy assisted with ablation under nasal endoscope from April 2014 to April 2018 were retrospectively studied. The type, number, causes and processing methods of postoperative complications were analyzed.ResultsThere were 67 cases （24.63%） with atlantoaxial rotatory deformity, 27 cases （9.93%） with fever, 11 cases （4.04%） with headache, 4 cases （1.47%） with postoperative recurrence, and 1 case （0.37%） with secondary postoperative haemorrhage.ConclusionsThe technology of adenoidectomy assisted with ablation under nasal endoscope is an efficient and minimally invasive method with less complications in the treatment of children adenoidectomy diseases. Atlantoaxial rotatory deformity is a common postoperative complication which is easy to be ignored by clinical doctors. The prognosis is good, after given a positive symptomatic treatment.