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目的探讨鼻内镜下应用低温等离子消融技术对传统腺样体手术后复发病例的再次手术的优越性。方法对15例曾行传统腺样体刮除术术后复发或残留病例在电视鼻内镜下应用低温等离子消融技术进行再次手术治疗。结果术后均随访≥2 a,所有患儿均自觉症状明显减弱或消失,听力明显改善,无再次复发。结论在电视鼻内镜下应用低温等离子消融技术治疗传统腺样体刮除术后复发的病例,具有术野清晰,出血量极少,手术时间短,无副损伤,切除彻底,术后痛苦小,并发症少等优点,值得临床推广应用。
Objective To explore the superiority of endoscopic resection with low-temperature plasma ablation on the recurrence of traditional adenoid surgery. Methods Fifteen patients with recurrent or residual residual adenocarcinoma after conventional adenoid surgery were treated with low temperature plasma ablation under endoscopic sinus surgery. Results All patients were followed up for more than 2 years. All patients had significantly reduced or disappeared their symptoms, with significantly improved hearing and no recurrence. Conclusions The application of low temperature plasma ablation in TV endoscopic treatment of traditional adenoid curettage recurrence cases, with a clear field of surgery, minimal bleeding, short operative time, no secondary injury, complete removal, postoperative pain is small , Fewer complications, it is worth promoting the clinical application.