中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
29期
52-54
,共3页
腺样体肥大%口腔鼻内镜腺样体切除术%内镜辅助经口腔腺样体切除术%经口腔腺样体刮除术
腺樣體肥大%口腔鼻內鏡腺樣體切除術%內鏡輔助經口腔腺樣體切除術%經口腔腺樣體颳除術
선양체비대%구강비내경선양체절제술%내경보조경구강선양체절제술%경구강선양체괄제술
Adenoid hypertrophy%Transnasal endoscopic adenoidectomy%Endoscopic-assisted transoral adenoidectomy%Transoral curette adenoidectomy
目的：比较口腔鼻内镜腺样体切除术(TEA)、内镜辅助经口腔腺样体切除术(ETA)、经口腔腺样体刮除术(TCA)治疗腺样体肥大的疗效，为腺样体肥大的治疗提供参考。方法整群收集2010年12月—2013年10月在该院耳鼻喉科行手术治疗的腺样体肥大患者148例，根据手术方式分为TEA组(n=28)、ETA组(n=34)、TCA 组(n=86)。 TEA组采用TEA治疗，ETA组采用ETA治疗，TCA组采用TCA治疗，观察3组的临床症状改善情况，比较3组的临床疗效。结果TEA组、ETA组、TCA组治愈率分别为60.7%、61.8%、34.9%，有效率分别为32.1%、29.4%、22.1%。 TEA组、ETA组的治愈率、有效率明显高于TCA组(P＜0.05)。结论 TEA、ETA术总体治愈率和有效率高于TCA，但ETA在部分临床症状的改善优于TEA,因此ETA可能是最佳的腺样体切除术术式，对那些伴有鼻腔、鼻窦疾病者亦适用。
目的：比較口腔鼻內鏡腺樣體切除術(TEA)、內鏡輔助經口腔腺樣體切除術(ETA)、經口腔腺樣體颳除術(TCA)治療腺樣體肥大的療效，為腺樣體肥大的治療提供參攷。方法整群收集2010年12月—2013年10月在該院耳鼻喉科行手術治療的腺樣體肥大患者148例，根據手術方式分為TEA組(n=28)、ETA組(n=34)、TCA 組(n=86)。 TEA組採用TEA治療，ETA組採用ETA治療，TCA組採用TCA治療，觀察3組的臨床癥狀改善情況，比較3組的臨床療效。結果TEA組、ETA組、TCA組治愈率分彆為60.7%、61.8%、34.9%，有效率分彆為32.1%、29.4%、22.1%。 TEA組、ETA組的治愈率、有效率明顯高于TCA組(P＜0.05)。結論 TEA、ETA術總體治愈率和有效率高于TCA，但ETA在部分臨床癥狀的改善優于TEA,因此ETA可能是最佳的腺樣體切除術術式，對那些伴有鼻腔、鼻竇疾病者亦適用。
목적：비교구강비내경선양체절제술(TEA)、내경보조경구강선양체절제술(ETA)、경구강선양체괄제술(TCA)치료선양체비대적료효，위선양체비대적치료제공삼고。방법정군수집2010년12월—2013년10월재해원이비후과행수술치료적선양체비대환자148례，근거수술방식분위TEA조(n=28)、ETA조(n=34)、TCA 조(n=86)。 TEA조채용TEA치료，ETA조채용ETA치료，TCA조채용TCA치료，관찰3조적림상증상개선정황，비교3조적림상료효。결과TEA조、ETA조、TCA조치유솔분별위60.7%、61.8%、34.9%，유효솔분별위32.1%、29.4%、22.1%。 TEA조、ETA조적치유솔、유효솔명현고우TCA조(P＜0.05)。결론 TEA、ETA술총체치유솔화유효솔고우TCA，단ETA재부분림상증상적개선우우TEA,인차ETA가능시최가적선양체절제술술식，대나사반유비강、비두질병자역괄용。
Objective To compare the effect between transnasal endoscopic adenoidectomy(TEA), endoscopic-assisted tran-soral adenoidectomy(ETA) and transoral curette adenoidectomy(TCA) on adenoid hypertrophy so as to provide reference for the treatment of adenoid hypertrophy. Methods 148 patients with adenoid hypertrophy underwent surgery in Department of ENT of our hospital from December 2010 to October 2013 were collected, and divided into TEA group(n=28), ETA group(n=34) and TCA group(n=86) in accordance with the surgical method. TEA group were treated by TEA, ETA group were treated by ETA, TCA group were treated by TCA. The improvement of clinical symptoms of the three groups was observed. And the clinical curative effect was compared among three groups. Results The cure rate of TEA group, ETA group, TCA group was respectively 60.7%, 61.8%, 34.9%, which showed that the cure rate of TEA group and ETA group was much higher than that of TCA group(P<0.05). The response rate of TEA group, ETA group, TCA group was respectively 32.1%, 29.4%, 22.1%, the response rate of TEA group and ETA group was much higher than that of TCA group (P<0.05). Conclusion Both TEA and ETA have higher overall cure rate and response rate than TCA, but ETA is better than TEA in the improvement of some clinical symptoms, therefore ETA may be the best surgical mode of adenoidectomy, and it is also suitable for those accompanied by nasal and paranasal sinus diseases.
