CAJ | 학술논문

目的探讨鼻内镜下应用等离子技术切除肥大腺样体的疗效.方法对61例腺样体肥大合并分泌性中耳炎、OSAHS和慢性鼻-鼻窦炎的患儿在鼻内镜直视下行等离子性等离子腺样体切除术,并辅以鼓膜穿刺、扁桃体切除、上颌窦穿刺等治疗,观察术后疗效.结果术后随访6～18个月,21例(41耳)分泌性中耳炎患儿中20例痊愈,1例未愈;25例OSAHS和15例慢性鼻-鼻窦炎患儿均痊愈.结论鼻内镜下应用等离子技术切除腺样体具有视野清楚、创伤小、定位准确、安全性高,是一种较先进的治疗方法.
목적 탐토비내경하응용등리자기술절제비대선양체적료효.방법 대61례선양체비대합병분비성중이염、OSAHS화만성비-비두염적환인재비내경직시하행등리자성등리자선양체절제술,병보이고막천자、편도체절제、상합두천자등치료,관찰술후료효.결과 술후수방6～18개월,21례(41이)분비성중이염환인중20례전유,1례미유;25례OSAHS화15례만성비-비두염환인균전유.결론 비내경하응용등리자기술절제선양체구유시야청초、창상소、정위준학、안전성고,시일충교선진적치료방법.
Objective To observe the effects of plasm radiofrequency therapy in the treatment of adenoid hypertrophy under endoscope.Methods Sixty-one children of hypertrophied adenoid with otitis media with effusion,OSAHS and pediatric chronic rhinosinusitis were treated under endoscopy-assisted plagm radiofrequency therapy.Results All children had been followed for 6～18 months,20 children(40ears)with otitis media with effusion cured,one uncured;25 children with OSAHS and 15 with pediatric chronic rhinosinusitis cured.No adenoid wag residual and no complication occurred.Conclusion Utilizing plagm radiofrequency in the treatment of adenoid hypertrophy under endoscope had the advantages of direct and clear view of surgical area that allows the surgeons to remove adenoids accurately and avoid damage of normal nasopharyngeal structures,obvious curative effect,easy to operate and high safety,mini invagive and with few complication.