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目的探讨鼻内镜下用切割吸引器行腺样体切除术治疗儿童鼻窦炎的临床疗效。方法 50例(双侧上颌窦),采用气管插管吸入加静脉复合全身麻醉,在直径4mm鼻内镜下用切割吸引器行腺样体切除术,8例同时行扁桃体切除术。结果 50例随访半年,治愈40例,鼻阻、流涕明显改善,X片示鼻窦未见异常。8例好转,鼻阻、流涕较术前改善,X片示与术前片相比较,炎症范围明显缩小。2例无效,术后症状无缓解,X片示与术前片相比较,炎症无明显变化。结论鼻内镜下切割吸引器行腺样体切除术治疗儿童鼻窦炎,方法简单,疗效确切,无并发症,无副作用。
Objective To investigate the clinical efficacy of endoscopic adenoidectomy with endoscopic aspiration for children with sinusitis. Methods Fifty patients (bilateral maxillary sinus) were treated with endotracheal intubation and intravenous combined general anesthesia. Adenotubectomy was performed with endoscopic aspiration of 4 mm diameter endoscope. Eight patients underwent tonsillectomy at the same time. Results 50 cases were followed up for half a year, cured 40 cases, nasal resistance, runny nose was significantly improved, X showed no abnormal sinus. 8 cases improved, nasal resistance, runny nose improved than before surgery, X-ray showed compared with preoperative films, the scope of inflammation was significantly reduced. 2 cases were ineffective, postoperative symptoms did not alleviate, X-ray showed compared with preoperative films, no significant changes in inflammation. Conclusions Endoscopic endoscopic adenoidectomy is an effective and safe method for the treatment of sinusitis in children. It has no complications and no side effects.