耳窥镜配合动力系统治疗小儿腺样体肥大的临床应用.docVIP

耳窥镜配合动力系统治疗小儿腺样体肥大的临床应用 【 】目的：探讨耳内镜下配合动力系统治 疗小儿腺样体肥大的方法可行性及优于传统方法特点 方法：对56例、年龄3?7岁、确诊为腺样体肥大的 患儿，在耳内镜明视下由鼻腔插入，配合动力系统进 过鼻腔及口腔切除肥大腺样体组织。结果:56例患儿 腺样体完整切除,12到24小时后取出膨胀海绵，均未 见活动性出血。所有患儿术后5 d治愈出院。术后5? 10d检查，鼻咽部无腺样体残留、假膜生长好，鼻咽部 宽敞,咽鼓管圆枕、咽口及鼻咽顶部无受损伤。术后全 部患儿鼻塞症状明显减轻或消失。小儿鼾症症状大部 分减轻或者消失。9例中耳炎患儿中耳腔内积液流出 逐渐减少，听力提高。出院随访半年以上，伴有鼻窦炎 患儿大部分症状改善，流涕减少，通气好，分泌性中 耳炎患儿听力改善，腺样体肥大患儿无1例复发。讨 论：耳内镜下配合动力系统治疗小儿腺样体肥大的方 法因完全在明视下操作；镜体细小，经过鼻腔时对于 鼻腔损伤小；病灶切除范围准确，并发症少；术后效果 良好，是治疗小儿腺样体肥大的理想方法。 【关键词】耳内窥镜；腺样体切除术；动力系统: 腺样体肥大 【 】R766【 】A【文章 编号】1008-6455 (2011) 12-0045-02 Application of the children with adenoidal hypertrophy by dynamical systems and ear endoscope Ye Gang Li Dengmin Luo Wenguang et al. 【Abstract】Objective: To investigate the ear with the endoscopic treatment of children with adenoidal hypertrophy power system feasibility and method of characteristics than traditional methods. Methods: 56 patients aged 3 to 7 years old, diagnosed with adenoid hypertrophy in children, in the ear from the nasal cavity under endoscopic view into the next, with the power system through the nose and mouth into the removal of adenoid tissue hypertrophy. Results:56 cases of complete removal of adenoids in children 12 to 24 hours after sponge removal inflation, showed no active bleeding. All patients recovered after 5 ck 5 ?lOd after the examination, nasopharyngeal adenoids no residue, pseudomembranous growth is good, spacious nasopharynx, eustachian tube torus, pharynx, mouth and nasopharynx at the top without injured. All children with symptoms of nasal congestion after surgery significantly reduced or disappeared. Most of the symptoms of snoring in children to reduce or disappear. 9 cases of otitis media in children with middle ear effusion gradually reduced outflow, improvement of hearing. Discharge follow-up more than six months, most patients with sinusitis symptoms, runny nose reduction, good ventilation, hearing improvement in children with secretory otitis media, adenoid hypertrophy in children with no recurr