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[内镜下腺瘤切除术——价值与安全性的临床评估——个人经验]

[Endoscopic adenotomy--clinical assessment of value and safety--an own experience].

作者信息

Krajewski Marek, Samoliaski Bolesław, Schmidt Jacek

机构信息

NZOZ Krajmed Centrum Nowoczesnej Laryngologii w Warszawie.

出版信息

Otolaryngol Pol. 2007;61(1):21-4. doi: 10.1016/s0030-6657(07)70377-3.

Abstract

High number of performed adenotomies inclines ENT surgeons to introduce more and more satisfying concerning safety, accuracy and results predictability surgical techniques. The aim of our study was to assess the value and safety of an endoscopic surgical technique. The study was performed on 768 patients aged 7 months - 14 years. Group A (I) consisted of 453 patients on whom adenotomy was performed with use of Beckmann adenotome. Group B (II) consisted of 315 patients operated under endoscope control with the use of Jurasz forceps. An endoscopic technique gives remarkable decrease of intraoperative blood loss and eliminates post op bleedings, what increases patients safety. Low aggressiveness of an endoscopic technique compared to classic decreases incidents of undesirable post adenotomy signs and symptoms. In authors opinion, the results obtained during study, definitely prove the superiority of endoscopic technique--it is worth of introducing into daily surgical practice.

摘要

大量的腺样体切除术促使耳鼻喉科医生采用越来越多在安全性、准确性和结果可预测性方面更令人满意的手术技术。我们研究的目的是评估一种内镜手术技术的价值和安全性。该研究针对768名年龄在7个月至14岁之间的患者进行。A组(I)由453名使用贝克曼腺样体刀进行腺样体切除术的患者组成。B组(II)由315名在内镜控制下使用尤拉斯钳进行手术的患者组成。内镜技术可显著减少术中出血量并消除术后出血,从而提高患者的安全性。与传统技术相比,内镜技术的低侵袭性减少了腺样体切除术后不良体征和症状的发生率。在作者看来,研究期间获得的结果明确证明了内镜技术的优越性——值得引入日常手术实践中。

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