CAJ | 학술논문

目的探讨鼻内镜辅助下经口导尿管悬吊软腭在腺样体切除术中的作用。方法68例腺样体肥大病例，采用经鼻腔内镜辅助下操作，导尿管悬吊软腭，经口腺样体切除术式，共行腺样体切除术68例，治疗因腺样体肥大引起的睡眠打鼾、鼻塞、听力下降等症。结果所有病例均术中视野清晰，术后腺样体切除干净，无残体存留。鼻咽部及后鼻孔结构显示良好，无出血及咽鼓管损伤等并发症。全组病例均随访1～3年，临床症状均消失或明显缓解。结论鼻内镜辅助下经口导尿管悬吊软腭腺样体切除术改变了传统腺样体切除术的手术模式，使手术更直观、清晰，又避免了经鼻腔腺样体手术术后出现的鼻腔粘连及鼻炎等并发症，增加了手术的安全性和准确性，使病变切除更彻底，提高了手术疗效，减少了并发症的发生。
목적탐토비내경보조하경구도뇨관현조연악재선양체절제술중적작용。방법68례선양체비대병례，채용경비강내경보조하조작，도뇨관현조연악，경구선양체절제술식，공행선양체절제술68례，치료인선양체비대인기적수면타한、비새、은력하강등증。결과소유병례균술중시야청석，술후선양체절제간정，무잔체존류。비인부급후비공결구현시량호，무출혈급인고관손상등병발증。전조병례균수방1～3년，림상증상균소실혹명현완해。결론비내경보조하경구도뇨관현조연악선양체절제술개변료전통선양체절제술적수술모식，사수술경직관、청석，우피면료경비강선양체수술술후출현적비강점련급비염등병발증，증가료수술적안전성화준학성，사병변절제경철저，제고료수술료효，감소료병발증적발생。
Objective To investigate the ef ective of endoscopy assisted and soft palate suspended by using catheter in adenoidectomy by oral way. Methods Sixty-eight patients with snoring,blocked nose or hearing loss caused by adenoid vegetation were treated by adenoidectomy, with endoscopy assisted and soft palate suspended by using catheter. Results Al cases got a clear sight during the operation. The adenoids were removed completely and the anatomic configuration of nasopharynx was wel viewed after operation.No complications such as hemorrhage or injury of auditory tube were encountered.Al the symptoms disappeared or relieved markedly during the fol ow-up period of one to three years. Conclusion Endoscopy assisted and soft palate suspended by using catheter in adenoidectomy by oral way change the traditional of adenoidectomy, it gets a clearly and directly sight, avoid Complications of rhinitis and adhesion of nasal cavity. It is even more safety.