鼻内镜下腺样体切除术与常规腺样体刮除术疗效比较.docVIP

精品论文 参考文献 鼻内镜下腺样体切除术与常规腺样体刮除术疗效比较 马丽（通辽市中医院耳鼻喉科 内蒙古 通辽 028000） 　　【摘要】 目的：比较鼻内镜下腺样体切除术与常规腺样体刮除术的临床疗效。方法：选取我院2010年1月～2015年3月收治达到90例腺样体肥大患者的病情信息作回顾性分析。按随机性原则，将其均分为对照组和观察组，对照组采取常规腺样体刮除术，观察组采取鼻内镜下腺样体切除术，术后进行随访观察。结果：经随访观察可知，对照组的总有效率为82.22%。观察组的总有效率为97.78%。观察组的治疗效果明显优于对照组，差异有统计学意义（P＜0.05）。结论：针对腺样体肥大患者，建议采取鼻内镜下腺样体切除术，其临床效果较之常规腺样体刮除术更为明显，值得在临床上推广使用。 　　【关键词】 腺样体肥大；鼻内镜下腺样体切除术；常规腺样体刮除术；临床疗效 　　【中图分类号】R765 【文献标识码】A 【文章编号】2095-1752（2016）07-0020-02 　　Comparison of the efficacy of endoscopic resection of adenoid and conventional adenoid in the treatment Ma Li. 　　Tongliao Traditional Chinese Medicine Hospital, Inner Mongolia, Tongliao 028000, China 　　【Abstract】Objective To compare the nasal endoscopic adenoidectomy and conventional adenoidectomy under the clinical curative effect of curettage. Selection methods From January 2010 to March 2015 were treated 90 cases with adenoid hypertrophy were retrospectively analyze the patient information. Based on the principles of random, were divided into control group and observation group, control group take regular adenoidectomy curettage, observation group takes the nasal endoscopic adenoidectomy and postoperative follow-up observation. Results Follow-up observation shows that the total effective rate was 82.22% in the control group. Observation group total effective rate was 97.78%. The curative effect of observation group was better than control group, the difference was statistically significant (P lt; 0.05). Conclusion For patients with adenoid hypertrophy, recommend adenoidectomy under endoscope, the clinical effect than the conventional adenoidectomy curettage is more apparent, and is worth popularizing in clinical use. 　　【Key words】Adenoid hypertrophy; The nasal endoscopic adenoidectomy. Conventional adenoidectomy curettage; Clinical curative effect 　　腺样体作为咽淋巴环内环的部位之一，处于鼻咽顶后壁中线位置。腺样体于幼儿期发育成熟，为末梢免疫器官，内含多种吞噬细胞，可对有害物质起到天然抵抗效果。然而，腺样体一旦遭受多种抗原刺激，容易产生肥大症状，即腺样体肥大[1]。该症多发生于低龄儿。健康人体在青春期，腺样体逐渐萎缩，健康成年人体