【作者】 程秀琴；

【导师】 尤乐都斯；

【作者基本信息】 新疆医科大学 ， 耳鼻咽喉学科， 2007， 硕士

【摘要】 目的:比较鼻内镜下经口腺样体吸切术(Endoscopic-assisted Transoral A-denoidectomy,ETA)及传统腺样体刮除术(traditional Transoral CuretteAdenoidectomy,TCA)的优缺点。方法:分析174例确诊腺样体肥大并分别行鼻内镜下经口腺样体吸切术或传统腺样体刮除术患者的临床资料,比较2种术式的术后夜间打鼾、耳部症状、鼻塞等症状恢复及腺样体残留等情况。结果:术后随访3～12个月,鼻内镜下经口腺样体吸切术(ETA)组在改善鼻塞流涕症状方面优于传统腺样体刮除术(TCA)组(P＜0.05)。TCA组中有6例患者存在腺样体残留,而ETA组无腺样体残留。结论:鼻内镜下经口腺样体吸切术能在直视下进行,增加了手术安全性和准确性,病变切除更加彻底,手术疗效明显。更多还原

【Abstract】 Objective:To compare Endoscopic-assisted Transoral Adenoidectomy (ETA) and traditional Transoral Curette Adenoidectomy(TCA). Method: Clinical data of 174 cases with adenoid hypertrophy who were performed Endoscbpic- assisted Transoral Adenoidectomy or traditional Transoral Curette Adenoidectomy were studied . The effective rate of snoring, hearing , nasal obstruction and residual of adenoid were compared. Result: The effective rate of nasal obstruction in ETA group was higher than that in TCA group (P< 0.0 5) with following-up 3—12 months. Residual adenoid was found in 6 cases in TCA group and none in ETA group. Conclusion: Endoscopic-assisted transoral adenoidectomy provides a direct and clear view that allows the surgeon to remove adenoid tissue accurately and effectively.更多还原