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目的比较鼻内镜下腺样体切吸术(切除术组)与常规腺样体刮除术(刮除术组)两种术式治疗儿童腺样体肥大的疗效。方法将70例腺样体肥大患者分为鼻内镜下腺样体切吸术40例(切除术组),常规腺样体刮除术30例(刮除术组),术后随访6～12个月,比较2种术式对术后分泌性中耳炎、打鼾、鼻塞等症状恢复情况和腺样体残留情况。结果切除术组术后鼻塞、中耳炎症状改善有效率优于刮除术组(P<0.05);切除术组腺样体残留概率少。结论鼻内镜下腺样体切吸术具有视野清晰、损伤少、残留少、安全微创,治疗效果好的优点,是目前治疗儿童腺样体肥大较理想的手术方式。
Objective To compare the efficacy of endoscopic adenoidectomy (resection group) and conventional adenoid curettage (curettage group) in treating adenoid hypertrophy in children. Methods Seventy patients with adenoid hypertrophy were divided into 40 cases undergoing endoscopic adenoidectomy (resection group), 30 cases with conventional adenoid curettage (curettage group) and 6 ~ Twelve months later, we compared the recovery of postoperative otitis media with effusion, snoring, nasal obstruction, and residual adenoid. Results The effective rate of postoperative improvement of nasal obstruction and otitis media in the resection group was better than that in the curettage group (P <0.05). There was little residual adenoid in the resection group. Conclusion Endoscopic adenoidectomy has the advantages of clear vision, less injury, less residual, safe and minimally invasive treatment, and good curative effect, which is the ideal surgical treatment for adenoid hypertrophy in children at present.