电凝棒鼻内镜下行腺样体切除术50例

发布时间：2018-03-29 08:42

本文选题：腺样体切除术　切入点：电凝术　出处：《重庆医学》2014年14期

【摘要】：目的探讨在电凝棒鼻内镜下行腺样体切除手术的优势。方法该院近2年采用电凝棒鼻内镜下行腺样体切除手术50例,与腺样体刮除术、微波或等离子射频消融术、动力系统吸切除术等方法比较,对手术时间,术中、术后出血量,复发率等情况进行分析研究。结果采用电凝棒鼻内镜下行腺样体切除术,手术时间缩短,术中、术后出血量减少,复发率降低等,优于腺样体刮除术、微波等离子射频消融术、动力系统吸切术等方法,术后随访6~12个月以上,以临床症状是否消失、术后鼻咽镜检查或鼻咽侧位X线片、鼻咽CT检查有无腺样体增生或残留作为满意度标准,满意率占86%。结论电凝棒鼻内镜下行腺样体切除术在节省手术时间、减少出血量、降低复发率、提高手术安全性等方面具有较明显优势,值得在临床及基层医院推广。
[Abstract]:Objective to explore the advantages of adenoidectomy under electrocoagulation rod endoscope. Methods 50 cases of adenoidectomy with electrocoagulation rod endoscope were performed in our hospital in recent 2 years, which were compared with adenoid curettage, microwave or plasma radiofrequency ablation. The operative time, blood loss, postoperative bleeding and recurrence rate were compared. Results the operation time was shortened, the operative time was shortened, and the recurrence rate was decreased. The postoperative bleeding volume and recurrence rate were decreased, which were superior to those of adenoid curettage, microwave plasma radiofrequency ablation, dynamic system aspiration, and so on. The postoperative follow-up was more than 6 ~ 12 months to determine whether the clinical symptoms disappeared or not. The satisfaction rate of nasopharyngoscope or lateral nasopharynx X-ray film was 86%. Conclusion the endoscopic adenoidectomy with electrocoagulation rod can save the operation time and reduce the amount of bleeding. It has obvious advantages in reducing recurrence rate and improving the safety of operation, so it is worth popularizing in clinical and primary hospitals.
【作者单位】：重庆市沙坪坝区人民医院耳鼻咽喉科;
【分类号】：R766

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