本文關鍵詞： 腺樣體肥大 腺樣體切除術 療效不佳　出處：《大連醫(yī)科大學》2010年碩士論文　論文類型：學位論文

【摘要】： 目的：探討腺樣體肥大切除術后療效不佳的臨床原因,以便進一步提高療效。 方法：隨機選取30例我科腺樣體切除病例,均在全麻鼻內鏡下行腺樣體切除術,同時行術前術后相關治療,隨訪3月—1年。腺樣體肥大患兒認知能力偉氏測試。 結果：1例患兒腺樣體切除術后出血,3例合并鼻中隔偏曲過敏性鼻炎的患者鼻塞緩解欠佳,1例合并扁桃體肥大的患者未行扁桃體手術睡眠打鼾緩解不佳,之后行扁桃體切除后癥狀消退。1例肥胖鼾癥患者腺樣體雙扁桃體切除術后效果不佳。合并分泌性中耳炎術后通過鼻部滴藥及鼓膜穿刺聽力恢復正常。 結論：腺樣體肥大合并扁桃體肥大,應該同期行扁桃體切除,合并分泌性中耳炎的最好同期行鼓膜置管術或鼓膜穿刺術,合并兒童鼻竇炎的圍手術期抗炎鼻腔滴藥及口服吉諾通藥物,鼻中隔偏曲及下頜畸形患兒療效欠佳,需要進一步矯正鼻中隔及下頜畸形,肥胖患兒術后必須減肥治療。腺樣體切除術注意手術適應癥選擇,術中精細操作,圍手術期治療及合并相關疾病后續(xù)治療較為重要。
[Abstract]:Objective: to investigate the clinical causes of poor curative effect after adenoidectomy in order to improve the curative effect. Methods: 30 cases of adenoidectomy in our department were randomly selected. All patients were treated with adenoidectomy under general anesthesia and nasal endoscope. The follow-up was March to 1 year. The cognitive ability of children with adenoid hypertrophy was measured by VW. Results one child with hemorrhage after adenoidectomy and 3 patients with nasal septum deviation and allergic rhinitis had poor nasal obstruction and remission. One patient with tonsil hypertrophy did not perform tonsillectomy to relieve sleep snoring. After tonsillectomy, the symptoms of 1 cases of obesity snoring patients after tonsillectomy after adenoid double tonsillectomy effect is not good, combined with secretory otitis media by nasal drops and tympanic membrane puncture hearing recovery to normal. Conclusion: adenoid hypertrophy combined with tonsillar hypertrophy should be performed at the same time tonsillectomy combined with secretory otitis media the best at the same time the tympanic membrane tube or tympanic membrane puncture. Children with sinusitis complicated with perioperative anti-inflammatory nasal drip and oral Ginotone, nasal septum deviation and mandibular malformation of children with poor curative effect, need to further correction of nasal septum and mandibular malformation. It is important for children with obesity to lose weight after surgery. It is important for adenoidectomy to pay attention to the choice of operation indication, fine operation, perioperative treatment and follow-up treatment of associated diseases.
【學位授予單位】：大連醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2010
【分類號】：R766

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