腺样体肥大是引起儿童分泌性中耳炎、鼻窦炎、阻塞性睡眠呼吸暂停综合征的主要病因,同时还可导致颌面部发育障碍及发育迟缓,本病一旦确诊,应尽早施行腺样体切除术[1] 。从1 997年1 2月至2 0 0 2年1 2月我科应用鼻内窥镜技术,在直视下行腺样体切除术4 2例,取得满意效果,现总结如 Adenoid hypertrophy is caused by children with secretory otitis media, sinusitis, obstructive sleep apnea syndrome, the main cause, but can also lead to maxillofacial developmental disorders and stunting, once the diagnosis of the disease, adenoidctomy should be implemented as soon as possible Surgery [1]. From January 1997 to January 2002 February 2002 our department applied endoscopic nasal endoscopy, adenotonsillectomy under direct vision in 42 cases, and achieved satisfactory results, is summarized as