内镜下对传统腺样体刮除术的临床评估

山东大学耳鼻喉眼学报

内镜下对传统腺样体刮除术的临床评估

李大建，刘新义，张恩东，刘艳，孙彩波

青岛大学医学院附属威海医院耳鼻咽喉-头颈外科，山东威海 264200

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-02-24 发布日期:2008-02-24
通讯作者: 李大建

Endoscopy after traditional adenoidectomy

LI Da-jian, LIU Xin-yi, ZHANG En-dong, LIU Yan, SUN Cai-bo

Department of Otolaryngology & Head and Neck Surgery， Weihai Hospital, Medical College of Qingdao University， Weihai 264200， Shandong， China

Received:1900-01-01 Revised:1900-01-01 Online:2008-02-24 Published:2008-02-24
Contact: LI Da-jian

摘要/Abstract

摘要： 目的在内镜直视下研究传统腺样体刮除术病变残留比率和残留的部位。方法对107例腺样体增生肥大患儿, 其中腺样体Ⅱ度肥大64例，Ⅲ度肥大43例，先行传统腺样体刮除术，然后在内镜直视下观察是否有病变残留以及病变残留的大小和部位，对有病变残留的患儿在内镜直视下应用切割吸引器切除腺样体残留组织。结果行传统腺样体刮除术的所有患儿均有不同程度的病变残留，显著残留率（病变残留最大径超过1cm）53.1%(57/107)，其中腺样体Ⅱ度肥大显著残留率25.0%（16/64），Ⅲ度肥大95.3%（41/43），残留位于腺样体上极35例(61.4%)、腺样体靠近圆枕处28例(49.1%)、腺样体下级16例(28.1%)。结论传统腺样体刮除术极易遗留病变组织，部位包括腺样体上极、腺样体靠近圆枕处、腺样体下级。

关键词: 腺样体刮除术, 内窥镜检查, 评价研究

Abstract: ObjectiveTo evaluate the effect of endoscopy after traditional adenoidectomy. Method107 cases of adenoid hypotrophy including 43 cases of degree Ⅲ and 64 cases of degree Ⅱ were first treated by traditional adenoidectomy, then the remains were removed by endoscopy. ResultsRemains were found in all cases. In 57 cases, 41（95.3%）cases of degree Ⅲ and 16（25.0%）cases of degree Ⅱ, the remains were longer than 1cm. The remains of 35 (61.4%) cases were located in the upper part of the adenoid, of 16 (28.1%) cases were located in the lower part of the adenoid, of 28 (49.1%) cases were located near the pharyngeal ostium of the eustachian tube. ConclusionTraditional adenoidectomy is poor in that remaining tissues are mainly found in the upper part of the adenoid, the lower part of the adenoid and near the pharyngeal ostium of the eustachian tube.

Key words: Endoscopy, Evaluation studies , Adenoidectomy

中图分类号:

R766.3

李大建,刘新义,张恩东,刘艳,孙彩波 . 内镜下对传统腺样体刮除术的临床评估[J]. 山东大学耳鼻喉眼学报, 2008, 22(1): 88-89 .

LI Da-jian,LIU Xin-yi,ZHANG En-dong,LIU Yan,SUN Cai-bo . Endoscopy after traditional adenoidectomy[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(1): 88-89 .

参考文献

相关文章 15

[1]	周鹏,神平,刘稳,李培华,李红权. 药物诱导睡眠内镜检查结果与低氧血症相关性研究[J]. 山东大学耳鼻喉眼学报, 2016, 30(5): 54-57.
[2]	王刚, 胡金旺, 陶伟, 吴长松, 卫平存. 泪囊在鼻内镜泪囊鼻腔造口术中的解剖学研究及临床应用[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 26-28.
[3]	李萍. 鼻内镜下单极电凝治疗成人难治性鼻出血102例[J]. 山东大学耳鼻喉眼学报, 2015, 29(4): 88-89.
[4]	何本超, 徐必生, 胡晶, 陈绪清, 王宇. 经扁桃体前外侧进路内镜辅助下茎突截短术15例[J]. 山东大学耳鼻喉眼学报, 2015, 29(4): 58-59.
[5]	王进，何跃. 慢性化脓性中耳炎及中耳胆脂瘤术前颞骨CT及耳内镜评估的意义[J]. 山东大学耳鼻喉眼学报, 2013, 27(6): 45-47.
[6]	张庆翔, 于振坤, 李光飞, 孟玮, 刘宏刚. 经鼻内镜泪囊鼻腔造孔术治疗复发性泪囊炎[J]. 山东大学耳鼻喉眼学报, 2011, 25(1): 61-62.
[7]	尤建强巢长江王晓晔邱建鹤. 鼻内镜手术治疗额窦病变[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 45-47.
[8]	丁见杨华张念凯. 猫视神经损伤减压手术模型的建立[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 75-.
[9]	马敬安飞李共保. 鼻内窥镜联合纤维喉镜治疗上颌窦黏膜下囊肿[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 54-.
[10]	李军政，江东新，陈伟南，焦文成，高翔，黄佩仪，梁悦浓，陈文弦. 鼻内镜下咽鼓管置管治疗鼻咽癌放疗后分泌性中耳炎[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 15-16.
[11]	李创伟林歆胜姚丹勉杨楚杨冬涛. 顽固性鼻出血的治疗[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 52-53.
[12]	余钦其，魏蓉. 鼻内镜在泪囊鼻腔吻合术后复发再手术中的应用[J]. 山东大学耳鼻喉眼学报, 2009, 23(1): 95-96 .
[13]	侯东明曹荣萍孟国珍杨军. 儿童鼻腔鼻窦肿瘤在内镜辅助下的诊断及手术治疗[J]. 山东大学耳鼻喉眼学报, 2008, 22(6): 515-516.
[14]	王学海李学忠蔡晓岚张立强徐豪杰陈成芳韩学锋. 鼻腔鼻窦内翻性乳头状瘤手术入路的选择及疗效[J]. 山东大学耳鼻喉眼学报, 2008, 22(6): 511-514.
[15]	张文山曹桂霞于德先. 鼻内镜下经鼻腔行腭裂二期修复的临床应用[J]. 山东大学耳鼻喉眼学报, 2008, 22(6): 523-524.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed