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目的探讨经口进路70°鼻内窥镜下腺样体切除术的方法及疗效。方法总结35例腺样体肥大行经口进路在70°鼻内窥镜下电动切割器切除的疗效。结果术后全部随访3个月~1年,治愈30例(85.7%),好转5例(14.3%)。疗效评价依据打鼾、分泌性中耳炎、鼻塞的改善及鼻腔、鼻咽部、耳部检查情况确定。结论经口进路在70°鼻内窥镜下以电动切割器切除腺样体手术疗效肯定,术野暴露良好,操作方便,切除部位、范围准确,出血较少,止血彻底,减少了圆枕损伤等并发症。
Objective To investigate the method and efficacy of oophorectomy under 70 ° nasal endoscopy by oral approach. Methods To summarize the curative effect of 35 cases of adenoid hypertrophy with excision of 70 ° nasal endoscope by oral approach. Results All patients were followed up for 3 months to 1 year. Thirty patients (85.7%) were cured and 5 patients (14.3%) were cured. Efficacy evaluation based on snoring, secretory otitis media, improvement of nasal obstruction and nasal cavity, nasopharynx, ear examination to determine the situation. Conclusion Oral approach in the 70 ° nasal endoscopic resection of the adenoid electric knife affirmative effect of surgery, operative exposure, easy to operate, the site of excision, the scope of accurate, less bleeding, complete hemostasis, reducing the circular pillows Injury and other complications.