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目的探讨鼻内镜下全麻应用吸切钻行腺样体切除术(ETA)、局麻传统腺样体刮除术(TCA)两种方法的优缺点。方法选取腺样体肥大患儿45例,均接受腺样体切除术,其中行ETA 21例,行TCA 24例。比较两种术式治疗夜间打鼾、鼻塞的有效率,采用χ2检验进行统计学分析,分析部分患儿声导抗峰压值的结果。结果两种术式治疗打鼾的有效率比较差异无统计学意义,但治疗鼻塞的有效率比较差异有统计学意义(P<0.05)。无主观听力下降症状的腺样体肥大患儿23例,其声导抗测试的峰压值显示鼓室负压的占39%。结论两种术式治疗打鼾无明显差异,但对于有鼻塞及声导抗峰压值异常的患者,ETA术式效果更佳。
Objective To investigate the advantages and disadvantages of two methods of endoscopic adenoidectomy (ETA) and traditional adenoidectomy (TCA) under general anesthesia under endoscopy. Methods Forty-five children with adenoid hypertrophy were enrolled in this study. All patients underwent adenoidectomy, including 21 ETA patients and 24 TCA patients. Comparing the two methods of treatment of night snoring, nasal obstruction efficiency, the use of χ2 test for statistical analysis, analysis of some of the results of the peak value of acoustic impedance in children. Results There was no significant difference in the efficiency of snoring between the two surgical procedures. However, the effective rate of nasal obstruction was statistically significant (P <0.05). There were 23 cases of adenoid hypertrophy without subjective hearing loss symptoms, and the peak pressure value of acoustic impedance test showed that 39% of tympanic negative pressure was found. Conclusion There is no significant difference between the two kinds of surgical treatment of snoring, but for patients with abnormal nasal plug and acoustic impedance peak pressure, ETA surgery is better.