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目的:比较经鼻内镜腺样体切除术(TEA)、内镜辅助经口腺样体切除术(ETA)及传统的经口腔腺样体刮除术(TCA)的优缺点。方法:分析130例接受腺样体肥大手术患者的临床资料,比较3种术式的术后听力、夜间打鼾、鼻塞、鼻漏等症状恢复和腺样体残留等情况。结果:术后随访6~44个月,平均21.4个月。TCA术后鼻塞改善有效率显著低于ETA(P<0.05)。TCA术式中,有20例患者存在腺样体残留,其他两种术式无腺样体残留。结论:腺样体肥大的最佳手术方法为ETA,伴有鼻腔、鼻窦疾病者可行TEA。
OBJECTIVE: To compare the advantages and disadvantages of endoscopic adenoidectomy (TEA), endoscopic assisted transoral adenoidectomy (ETA), and traditional transoral adenoidectomy (TCA). Methods: The clinical data of 130 patients undergoing adenoid hypertrophy were analyzed. The postoperative hearing, night snoring, nasal obstruction, rhinorrhea, and adenoid residue recovery were compared. Results: All patients were followed up for 6 to 44 months (average 21.4 months). The effective rate of improvement of nasal obstruction after TCA was significantly lower than that of ETA (P <0.05). TCA surgery, there are 20 patients with adenoid residue, the other two surgical no adenoid residue. Conclusion: The best surgical method of adenoid hypertrophy is ETA, and TEA is feasible in patients with nasal cavity and sinus diseases.