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由于后鼻镜检查鼻咽部并不充分,许多腺样体增殖病例被漏诊及误诊。目前成人鼻咽部肿块很易使人联想到鼻咽癌。为探讨成人腺样体增殖的临床及病理学诊断,评价鼻内诊镜下腺样体切除术式,作者选择35例年龄在20～42岁间腺样体增殖病例进行研究,主要症状为鼻后溢液、头痛、鼻阻、鼻咽炎、鼻音或打鼾,症状持续2～13年,许多病例都进行过药物及手术治疗。用30°,4 mm鼻内诊镜查鼻咽部肿块,采取经鼻内诊镜下腺样体切除术,腺样体切除术在常规全身麻醉下进行,用腺样体刮匙刮出大部分,剩余组织则在鼻内诊镜下用钳夹
Due to insufficient post-nasal examination of the nasopharynx, many cases of adenoid proliferation have been missed and misdiagnosed. At present, nasopharyngeal mass is very easy for people to think of nasopharyngeal carcinoma. In order to explore the clinical and pathological diagnosis of adenoid proliferation in adults and evaluate the adenoidectomy type of endoscopic sinus surgery, the authors selected 35 cases of adenoid proliferation between the ages of 20 and 42 years. The main symptoms were nasal After the discharge, headache, nasal resistance, nasopharyngitis, nasal or snoring, the symptoms lasted 2 to 13 years, many cases have been treated with drugs and surgery. With 30 °, 4 mm nasal endoscopic examination of nasopharyngeal mass, taken by endoscopic adenoidectomy, adenoidectomy under general anesthesia, adenoid scraping spoon with a large Part of the remaining organizations in the endoscopic use of the clamp