【摘要】目的:探讨鼻内镜下腺样体切割术在临床上的应用。方法:对腺样体肥大40例患者,均有不同程度的睡眠打鼾,其中5例合并有双耳积液,2例成人且合并高血压,采用鼻内镜下腺样体切割术的治疗。合并扁桃体肥大者同时行扁桃体切除术;合并分泌性中耳炎者在内镜下行鼓膜穿刺抽液。观察分析其疗效。结果:40例手术均顺利进行,术后随访1-3年,症状消失,无1例腺样体残留或复发,且无并发症的发生。结论:鼻内镜下腺样体切割术,手术视野清晰,可有效地避开重要血管及神经,不损伤周围组织器官,手术彻底,无并发症,值得推广应用。

    【关键词】腺样体切割术;鼻内镜;腺样体肥大

    Clinical Application of Adenoidectomy under Nasal Endoscope

    Yang Jizhi

    【Abstract】Objective:To explore the clinical application of utilizing nasoendoscopy in adenoidectomy. Methods:There was snore of different degrees in 40 cases of patients with adenoid hypertrophy, among whom 5 cases were combined with binaural effusion and 2 cases of adults with high blood pressure. As a result, they were treated with adenoidectomy under nasal endoscope. Patients with hypertrophy of the tonsils had their tonsils cut off. Endotoscopic assisted myringotomy was performed in patients with Secretory Otitis Media. Therapeutic observation and analysis were given on them. Results:Operation was successfully performed in 40 cases. After follow-up for 1-3 years, the symptoms disappeared without the adenoid gland removed completely or recurring. All cases were recovered without complications. Conclusion:Adenoidectomy under nasal endoscope provides a clear view that avoids damaging important blood vessels, nerves and other adjacent tissue and organs and allows removing adenoids accurately without complications, which is worthwhile for extensive application. ......