目的探讨儿童腺样体的最佳手术方式。方法 38例采取传统腺样体切除术,40例患儿采取鼻内镜引导下经口儿童腺样体切除术,对两组患儿手术后腺样体残留及复发率进行比较。结果两组总有效率差异无统计学意义(P>0.05),但术后腺样体残留及复发率两组间差异有统计学意义(P<0.05)。结论鼻内镜引导下经口行儿童腺样体切除术优于传统腺样体切除术。 Objective To investigate the best surgical method of children adenoid. Methods Thirty-eight cases underwent traditional adenoidectomy and 40 cases underwent adenoidectomy under nasal endoscopy. The adenoid residue and recurrence rate were compared between the two groups. Results There was no significant difference in the total effective rate between the two groups (P> 0.05). However, there was a significant difference between the two groups in residual adeninectomy and recurrence rate (P <0.05). Conclusion Nasal endoscopic guided oral adenoidectomy is superior to traditional adenoidectomy.