论文部分内容阅读
目的在内镜直视下研究传统腺样体刮除术病变残留比率和残留的部位。方法对86例腺样体增生肥大患儿,其中腺样体Ⅱ度肥大52例、Ⅲ度肥大34例,先行传统腺样体刮除术,然后在内镜直视下观察是否有病变残留以及病变残留的大小和部位,对有病变残留的患儿在内镜直视下应用切割吸引器切除腺样体残留组织。结果行传统腺样体刮除术的所有患儿均有不同程度的病变残留,显著残留率(病变残留最大径超过1 cm)55.3%(48/86),其中腺样体Ⅱ度肥大显著残留率26.0%(14/52),Ⅲ度肥大96.1%(33/34),残留位于腺样体上极29例(62.1%)、腺样体靠近圆枕处24例(50.1%)、腺样体下级13例(27.3%)。结论传统腺样体刮除术极易遗留病变组织,部位包括腺样体上极、腺样体靠近圆枕处、腺样体下级。
Objective To study the residual ratio and the residual area of traditional adenoid curettage under endoscopic visualization. Methods 86 cases of adenoid hyperplasia and hypertrophy in children, including adenoid Ⅱ hypertrophy in 52 cases, Ⅲ degree of hypertrophy in 34 cases, the first conventional adenoid curettage, and then under endoscopy to observe whether there is residual disease and The size and location of residual lesions, residual lesions in children with endoscopic surgery under the guidance of a cutting suction adenoid removal of residual tissue. Results All patients with traditional adenoidectomy had varying degrees of residual disease with a significant residual rate of 55.3% (48/86) with a residual remnant of more than 1 cm, with significant residual hypertrophy of grade Ⅱ adenoids (14/52), 96.1% (33/34) of grade Ⅲ hypertrophy and 29 (62.1%) residues on the upper pole of adenoid, 24 (50.1%) of adenoid near the occipital wall, Lower body 13 cases (27.3%). Conclusion The traditional adenoid curettage easily left lesions, including adenoid pole parts, adenoid near the occipital, adenoid lower.