Search for the method of treating for adenoid vegetation and secretary otitis media under nasal endoscope

Abstract

目的 探讨鼻内窥镜下治疗儿童腺样体肥大及分泌性中耳炎的方法.方法采用气管插管全麻,104例腺样体肥大患儿行腺样体切割术,其中,43例合并分泌性中耳炎:22例(44耳)显微镜下行鼓膜切开+置管术,21例(40耳)鼻内窥镜下行鼓膜穿刺抽吸造口术;58例行双扁桃体切除术.结果随访3～6个月,患儿行鼻内窥镜检查见鼻咽部黏膜红润、光滑,未见瘢痕及腺样体残留.所有分泌性中耳炎患儿鼓膜愈合、标志正常存在,鼓室压图正常、患耳听力明显提高.结论鼻内窥镜下治疗儿童腺样体肥大方法简便、切除彻底、创伤小、术后恢复快、并发症发生少。