Lo S, Rowe-Jones J
Clin Otolaryngol. 2006 Oct;31(5):440-2. doi: 10.1111/j.1749-4486.2006.01213.x.
Keypoints * Adenoid ablation using suction diathermy is associated with a number of difficulties, mainly associated with the use of the mirror. Transoral and transnasal 0 degree endoscopes have also been utilised but again have limitations. We describe a technique that overcomes the above problems. * A prospective case series of patients undergoing suction diathermy adenoidectomy under direct vision using a transoral 45 degree endoscope connected to a monitor was conducted, performed by surgical trainees and under direct supervision of the consultant trainer (J.R.-J.). * Intra-operatively, trainees had to demonstrate to the trainer the appropriate anatomy, completed adenoid ablation, and haemostasis. * Fifty-six cases have been performed. In every case, it was possible for the trainer to monitor the trainee's technique throughout the entire procedure. No complications have been reported. * We describe a modified technique which overcomes the disadvantages previously encountered by conventional suction diathermy adenoid ablation.
关键点
使用吸引电凝法切除腺样体存在诸多困难，主要与使用镜子有关。经口和经鼻0度内窥镜也曾被使用，但同样存在局限性。我们描述了一种克服上述问题的技术。
开展了一项前瞻性病例系列研究，对在监视器连接的经口45度内窥镜直视下使用吸引电凝法进行腺样体切除术的患者进行研究，手术由实习医生在顾问培训师（J.R.-J.）的直接监督下进行。
术中，实习医生必须向培训师展示适当的解剖结构、完成腺样体切除及止血操作。
已完成56例手术。在每一例手术中，培训师都能够在整个手术过程中监测实习医生的技术操作。未报告有并发症。
我们描述了一种改良技术，该技术克服了传统吸引电凝法腺样体切除术前所遇到的缺点。
