经口-鼻内窥镜引导下腺样体刮除术及手术指征探讨
CHINESE MEDICINE OF FACTORY AND MINE（2003）
Abstract
目的:对腺样体刮除术的手术指征和手术径路进行探讨.方法:回顾性分析49例手术患者的临床资料,其主诉以睡眠不安、打鼾、憋气、张口呼吸、鼻塞、经常性咽痛、多涕、反复听力下降为主;根据手术径路的不同分为传统组(15例)和经口-鼻内窥镜组(34例).结果:术后13d,患者睡眠呼吸恢复正常,2～6周后听力较术前提高10～30dB,术后3个月纤维鼻咽镜检查:经口-鼻内窥镜组无腺样体残留.结论:纤维鼻咽镜检查及头颅侧位摄片有助于手术适应证的确定,经口-鼻内窥镜引导下腺样体刮除术具有直视下操作,视野清晰、开阔,切除彻底,可避免损伤周围重要结构的特点.
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