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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28m in,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。
Objective To investigate the technical points and curative effects of endoscopic adenoidectomy under the guidance of endoscope and nasal approach combined with electric cutting comprehensive power system. Methods A total of 78 cases of adenoid hypertrophy were diagnosed in children aged 2 to 13 years. The subjects complained of sleep snoring, suffocation, mouth breathing in 71 cases, nasal obstruction and runny nose in 5 cases, long-term hearing loss and hearing loss in 2 cases. Transnasal Adenoidectomy. Results The average operation time was 28m in. The mean intraoperative bleeding was 10mL. There were no complications such as primary and secondary hemorrhage and eustachian tube injury. After an average follow-up of 1 year, the patient’s symptoms improved significantly, no nasal adhesions, adenoid enlargement occurred. Conclusion Endoscopic guided transnasal approach combined with electric cutting system of adenoidectomy with clear surgical field, accurate removal, complete hemostasis, good effect.