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目的探讨鼻内镜下腺样体切除术治疗腺样体肥大的临床疗效。方法采用鼻内镜下腺样体切除术治疗腺样体肥大患儿82例。结果 82例患儿手术均成功,术中出血为10～20 mL,无一例发生并发症。术后当晚鼾声消失。所有患儿均一次治愈。82例患儿术后随访3～6个月,鼻咽部黏膜光滑,无一例发生软腭、咽鼓管咽口和圆枕损伤,无鼻咽粘连。均未出现症状复发。21例并发分泌性中耳炎患儿术后听力(10～30 dB)明显提高。结论鼻内镜下腺样体切除术是儿童腺样体肥大较理想的治疗方法。
Objective To investigate the clinical efficacy of endoscopic adenoidectomy for adenoid hypertrophy. Methods A total of 82 cases of adenoid hypertrophy were treated by endoscopic adenoidectomy. Results 82 cases of children were operated successfully, bleeding was 10 ~ 20 mL, no case of complications occurred. The night after the snoring disappeared. All children are cured once. 82 cases of children were followed up for 3 to 6 months, nasopharyngeal mucosa smooth, no case of soft palate, eustachian tube pharynx and occipital injury, no nasopharyngeal adhesions. No recurrence of symptoms occurred. 21 cases of children with secretory otitis media hearing after hearing (10 ~ 30 dB) was significantly improved. Conclusion Endoscopic adenoidectomy is an ideal treatment for adenoid hypertrophy in children.