鼻内镜下动力系统腺样体肥大切除手术的疗效分析

发布时间：2019-01-14 17:09

【摘要】：目的研究鼻内镜下电动吸切器腺样体肥大切除手术疗效,并与传统腺样体刮除术的疗效进行对比分析。方法回顾我院2011年1月~2016年6月,240例接受腺样体肥大手术患儿的临床资料,根据术式分为鼻内镜下动力系统电动吸切器腺样体切除术组(吸切组)和传统腺样体刮除术组(刮除组),对两种术式术中出血、手术时间、术后患儿夜间打鼾、鼻塞、鼻漏及听力等症状的恢复和腺样体残留等情况,应用SPSS11.0统计软件,进行统计学分析。结果吸切组和刮除组比较,鼻内镜下动力系统电动吸切器腺样体切除术可完整和精确的切除腺体组织;同时也减少了术中出血及手术时间,两组比较差异有统计学意义(P0.05);但两种术式对小儿腺样体肥大术后症状的恢复以及并发的鼻窦炎、分泌性中耳炎和小儿鼾症的的治疗,其治愈率相似,疗效相近,两组间差异无统计学意义(P0.05)。结论虽然两种术式均是安全、可靠和有效的手术,但由于鼻内镜下动力系统电动吸切器腺样体切除术存在着诸多优点,具有明显的先进性,将是腺样体肥大的理想手术方法。
[Abstract]:Objective to study the effect of endoscopic adenoid hypertrophy resection with electric scaler and compare the effect with that of traditional adenoidectomy. Methods the clinical data of 240 children undergoing adenoid hypertrophy from January 2011 to June 2016 were retrospectively reviewed. According to the operation methods, the patients were divided into two groups: adenoidectomy group (suction group) and adenoidectomy group (traditional adenoidectomy group). The bleeding, operation time, nocturnal snoring and nasal obstruction were observed in the two groups. The recovery of rhinorrhea and hearing and adenoid residue were analyzed by SPSS11.0 software. Results compared with the curettage group, the adenoidectomy of the dynamic system under nasal endoscope could remove the adenoidectomy completely and accurately. At the same time, it also reduced intraoperative bleeding and operation time, the difference between the two groups was statistically significant (P0.05); However, the recovery of symptoms after adenoid hypertrophy and the treatment of sinusitis, secretory otitis media and snoring in children, the cure rate was similar and the curative effect was similar. There was no significant difference between the two groups (P0.05). Conclusion although the two methods are safe, reliable and effective, adenoidectomy with electric suction device of dynamic system under nasal endoscope has many advantages and is obviously advanced, so it will be an ideal surgical method for adenoid hypertrophy.
【作者单位】：中山大学附属东华医院耳鼻咽喉科;
【分类号】：R766.9

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