内镜引导下经鼻入路腺样体切除78例临床分析

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (3): 47-49.

内镜引导下经鼻入路腺样体切除78例临床分析

韩学锋，李学忠，魏晓，张磊

山东大学齐鲁医院耳鼻咽喉—头颈外科，济南 250012

收稿日期:2010-04-05 修回日期:2010-05-04 出版日期:2010-06-16 发布日期:2010-06-16
通讯作者: 李学忠(1964- ),男,医学博士，主任医师，教授,主要从事鼻科学的基础与临床研究工作。Email：ent-sd@yahoo.com.cn
作者简介:韩学锋(1983- ),男,硕士研究生，主要从事鼻科学的研究工作。Email:hldoctor @163. com
基金资助:
山东省自然科学基金项目（Y2006C54）

Adenoidectomy under endoscopy through the nose in 78 cases

Department of Otolaryngology & Head and Neck Surgery, Qilu Hospital of Shandong University, Jinan 250012, China

Received:2010-04-05 Revised:2010-05-04 Online:2010-06-16 Published:2010-06-16

摘要/Abstract

摘要：

目的探讨内镜引导下、经鼻入路联合电动切割综合动力系统进行腺样体切除的技术要点和疗效分析。方法确诊为腺样体肥大儿童78例， 2~13岁，主诉睡眠打鼾、憋气、张口呼吸71例，鼻塞、流涕5例，长期耳闷、听力下降2例，于全麻下行内镜引导下经鼻入路腺样体切除术。结果手术时间平均28min，术中出血平均10mL，无原发性和继发性出血、咽鼓管损伤等手术并发症。术后平均随访1 年, 患者症状明显好转，无鼻腔粘连、腺样体肿大等发生。结论内镜引导下经鼻入路联合电动切割综合动力系统腺样体切除术具有术野清晰, 切除准确, 止血彻底, 效果良好的特点。

关键词: 腺样体肥大；腺样体切除术；鼻内镜外科手术；综合动力系统

Abstract:

Objective To assess the technical points and therapeutic effects of adenoidectomy via a transnasal endoscopic approach. Methods A total of 78 children aging from 2 to 13 years were diagnosed as having adenoidal hypertrophy, of which 71 cases were complainted with snoring, breath holding and mouth breathing, 5 had nasal congestion and runny nose and 2 had hearing loss in long-term. All the children received adenoidectomy directed by an endoscopic approach via transoral under general anesthesia. Results The average time in surgery was 28 minutes, the average bleeding during surgery was 10 ml, but there were no primary and secondary bleeding or tubal damage. During a one-year follow-up, there was significant improvement in all the symptoms and no nasal adhesion and recurrence happened. Conclusion Adenoidectomy directed by an endoscopic approach via transoral in combination with integrated power systems would be effective to get a clear operative field, accurate removement and complete hemostasis.

Key words: Adenoidal hypertrophy; Adenoidectomy; Endoscopic surgical procedures, operative； Integrated power system

中图分类号:

R765.9

韩学锋，李学忠，魏晓，张磊. 内镜引导下经鼻入路腺样体切除78例临床分析[J]. 山东大学耳鼻喉眼学报, 2010, 24(3): 47-49.

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