Combined Transoral Conventional and Endoscopic Adenoidectomy

合併使用傳統經口腔以及內視鏡腺樣體切除術

黃天一(Tien-I Huang) ； 黃弘孟(Hung-Meng Huang)

《北市醫學雜誌》 5卷3期 (2008/06) Pp. 329-334

https://doi.org/10.6200/TCMJ.2008.5.3.04

摘要

目的：本研究主要探討傳統式經口腔合併鼻腔內視鏡腺樣體切除術(CCEA)的成效。方法：蒐集1997年1月至2001年12月共105位罹患腺樣體增生併有慢性鼻塞之兒童。在90度內視鏡引導下，先經口腔刮除腺樣體，其餘內鼻孔底部及torus tubarius殘餘的腺樣體，再用0度及30度內視鏡經由鼻腔以杯狀鉗切除。所有病人術後三個月均接受鼻部內視鏡及頭部側面X光檢查。結果：105位病人皆無術後出血現象，鼻塞症狀於術後2星期內皆消失。結論：合併傳統式及經鼻內視鏡腺樣體切除術對於腺樣體的切除、內鼻孔底部及torus tubarius周圍腺樣體的移除是非常有效的，而且更能避免傳統手術容易產生的併發症。

關鍵字

腺樣體切除術 ； 內視鏡 ； 傳統式 ； 經鼻部

並列摘要

Objective: The aim of the study was to evaluate the efficacy of combined approach of conventional and endoscopic transnasal adenoidectomy (CCEA). Methods: Between January 1997 and December 2001, 105 children with adenoid vegetation were enrolled in the study. The patients all suffered from chronic nasal obstruction. Under 90° endoscopic guidence, the patients underwent adenoidectomy using an appropriate adenoid curette transorally and the residual adenoid tissue surrounding choana sill and torus tubarius was removed with a cup forceps transnasally under the guidance of 0° or 30° endoscope. All patients received a nasoendoscopic examination and skull lateral radiography 3 months after surgery. Results: None of the 105 patients had post-operative nasopharyngeal hemorrhage. Nasal obstruction was relieved in all the105 patients 2 weeks after surgery. Conclusions: The combined approach of conventional and transnasal endoscopic adenoidectomy is effective at removing the adenoid tissue, including adenoid tissue surrounding choana sill and torus tubarius. Furthermore, it provides a better option for prevention of complication than the conventional adenoidectomy.

並列關鍵字

adenoidectomy ； endoscopic ； conventional ； transnasal