山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (2): 65-67.doi: 10.6040/j.issn.1673-3770.0.2014.348

• 论著 • 上一篇    下一篇

70°鼻内镜下低温等离子剥推融切术治疗儿童腺样体肥大

金永钢1, 李建瑞2, 张栋1, 王宇1, 柳宁宁1, 钱海龙1   

  1. 1. 河北省香河县人民医院耳鼻咽喉科, 河北 香河 065400;
    2. 北京市垂杨柳医院耳鼻咽喉科, 北京 100022
  • 收稿日期:2014-11-03 出版日期:2015-04-16 发布日期:2015-04-16
  • 作者简介:金永钢。E-mail:jyg3300@126.com

Adenoidectomy with low-temperature plasma stripping-pushing-ablation under nasal endoscopy for children with adenoidal hypertrophy

JIN Yong-gang1, LI Jian-rui2, ZHANG Dong1, WANG Yu1, LIU Ning-ning1, QIAN Hai-long1   

  1. 1. Hebei Xianghe People's Hospital, Xianghe 065400, Hebei, China;
    2. Beijing Chuiyangliu Hospital, Beijing 100022, China
  • Received:2014-11-03 Online:2015-04-16 Published:2015-04-16

PDF (PC)

414

摘要： 目的 探讨70°鼻内镜下低温等离子剥推融切术治疗儿童腺样体肥大的方法及效果。方法 对317例腺样体肥大患儿行鼻内镜下低温等离子剥推融切术, 再辅以相应药物治疗, 分析疗效。结果 术后随访6~12个月, 317例均无复发, 疗效满意。结论 70°鼻内镜下低温等离子剥推融切术治疗儿童腺样体肥大具有视野清晰、界限清楚、出血少、患者康复快等特点。

关键词: 腺样体肥大, 鼻内镜外科手术, 剥推融切术, 低温等离子

Abstract: Objective To explore the treatment method and effect of adenoidectomy with low-temperature plasma stripping-pushing-ablation under 70° nasal endoscopy for children with adenoidal hypertrophy. Methods A total of 317 children with adenoidal hypertrophy were treated by adenoidectomy with low-temperature plasma stripping-pushing-ablation under 70° nasal endoscopy, also they were given medicine. Results During a follow-up period of 6 to 12 months, there was no recurrence. Conclusion Apparent visual fields, clear boundary lines and quick recovery are got by adenoidectomy with low-temperature plasma stripping-pushing-ablation under 70° nasal endoscopy for children with adenoidal hypertrophy.

Key words: Endoscopic surgical procedures operative, Adenoidal hypertrophy, Stripping-pushing-ablation, Low-temperature plasma

中图分类号: 

  • R766
[1] 惠莲, 阎艾慧, 于刚. 纤维鼻咽镜检查在评价儿童腺样体肥大中的价值[J].临床耳鼻咽喉科杂志,2006,20(4):166-168. HUI Lian, YAN Aihui, YU Gang. Assessment of adenoid size in children by flexible fibrescope examination[J]. J Clin Otorhinolaryngol, 2006, 20(4):166-168.
[2] 中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉头颈外科学分会小儿学组、鼻科学组.儿童鼻-鼻窦炎诊断和治疗建议(2012, 昆明)[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(3):177-178. Editorial Board of Chinese Journal of Otolaryngology Head and Neck Surgery. Pediatric Study Group, Nasal Study Group of Otolaryngology Head and Neck Surgery Branch of Chinese Medical Association. Diagnosis and treatment recommendations of child sinusitis(2012, Kunming)[J]. Chin J Otolaryngol Head Neck Surg, 2013,48(3):177-178.
[3] 张鹏.儿童分泌性中耳炎的疗效观察与分析[J].中华耳科杂志, 2011, 8(3):206-207. ZHANG Peng. An analysis of therapeutic outcomes in secretory otitis media in children[J]. Chin J Otol, 2011, 8(3):206-207.
[4] 刘阳云, 孙正良, 李正贤, 等.腺样体肥大程度与分泌性中耳炎的相关性研究[J].临床耳鼻咽喉科杂志, 2004, 15(1):19-20. LIU Yangyun, SUN Zhengliang, LI Zhengxian, et al. Relationship between adenoids hypertrophy and secretory otitis media[J]. J Clin Otorhinolaryngol, 2004, 15(1):19-20.
[5] 黄映红, 张建国, 黄敏齐, 等.鼻内镜下动力系统切割器行腺样体切除术与常规腺样体刮除术的疗效比较研究[J].国际医药卫生导报, 2009, 15(4):21-23. HUANG Yinghong, ZHANG Jianguo, HUANG Minqi, et al. Comparative study on dynamical system cutterbar via nasal endoscope for adenoidectomy and rout curettage of adenoids[J]. Inter Med Health Guid News, 2009, 15(4):21-23.
[6] 李希平,贾弘光,闫素英,等. 鼻内镜下 4 种腺样体微创切除术式的比较研究[J]. 中国微创外科杂志, 2013,13(3): 275-278, 283. LI Xiping, JIA Hongguang, YAN Suying, et al. Comparative study of 4 kinds of minimally invasive surgical resection adenoidectomy under nasal endoscopy[J]. Chin J Minim Invas Surg, 2013, 13(3): 275-278, 283.
[7] 李建瑞,王宇,汤秀贤,等. 鼻内镜下微创切除腺样体[J].山东大学耳鼻喉眼学报, 2007, 21(6):535-537. LI Jianrui, WANG Yu, TANG Xiuxian, et al. Minimal invasive adenoidectomy under nasal endoscopy[J]. J Otolaryngol Ophthalmol Shandong Univ, 2007, 21(6):535-537.
[8] Palmer J M. Bipolar radiofrequency for adenoidectomy[J]. Otolaryngol Head Neck Surg, 2006, 135(2):323-324.
[9] Songu M, Altay C, Adibelli Z H, et al. Endoscopic-assisted versus curettage adenoidectomy: a prospective, randomized, double-blind study with objective outcome measures[J]. Laryngoscope, 2010, 120(9):1895-1899.
[1] 王驰,刘星,孔磊,洪兴和,宁博. 鼻内镜下等离子射频消融术对合并鼻窦炎的小儿腺样体肥大患者疗效及鼻腔黏膜纤毛清除功能的影响[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 78-81.
[2] 田增华. 经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术治疗鼻前庭囊肿42例临床观察[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 86-89.
[3] 周鼎坤,蔡郁,田艳华,滕博,冯青杰. Crouzon儿童腺样体切除术后并发Grisel综合征一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 119-120.
[4] 李华斌, 赖玉婷. 慢性鼻-鼻窦炎的发病机制及诊疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 4-9.
[5] 张炜,曾昱菡,余先崧. 慢性鼻窦炎手术前后ECP、EGF、IL-6的水平变化及临床意义[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 63-67.
[6] 王愿,周涵,刘晓静,张立庆,赵青,冯剑,董伟达. 鼻内翻性乳头状瘤的术式选择和疗效分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 79-83.
[7] 王岩,师晓丽. 变态反应与儿童OSAHS的关系[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 14-18.
[8] 仇书要,刘大波,钟建文,杨李强. 儿童阻塞性睡眠呼吸暂停低通气综合征等离子[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 34-37.
[9] 高进良,年婉清,李烁. 鼻内镜手术联合鼻用糖皮质激素治疗腺样体肥大性[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 38-42.
[10] 朱丽. 近期鼻骨与鼻中隔复合外伤鼻内镜下成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 7-9.
[11] 李娜. 美容与功能兼顾——浅谈鼻畸形整复与鼻中隔成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 1-2.
[12] 华骋, 陈振雨,张维娜,李娜. 鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 33-36.
[13] 江英,陈玥竹,饶郁芳,唐玥玓. 鼻中隔-鼻整形术矫正严重外伤性鼻畸形伴鼻中隔偏曲一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 45-47.
[14] 谢日林,张志平. 布地奈德体位滴鼻治疗伴腺样体肥大的小儿分泌性中耳炎31例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 65-67.
[15] 崔潇,阎艾慧. 鼻内镜下泪前隐窝入路治疗上颌窦内翻性乳头状瘤的疗效分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 49-52.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发