刮除术后残留腺样体组织：鼻咽喉镜检查在腺样体切除术中的作用
Residual adenoid tissue post-curettage: role of nasopharyngoscopy in adenoidectomy.
作者信息
Saxby Alex J, Chappel Clive A
机构信息
Department of Otolaryngology, Head and Neck Surgery, Mona Vale Hospital, Mona Vale, New South Wales, Australia.
出版信息
ANZ J Surg. 2009 Nov;79(11):809-11. doi: 10.1111/j.1445-2197.2009.05106.x.
OBJECTIVE
Curettage adenoidectomy is one of the most common methods of adenoidectomy. This study reports the incidence of residual adenoid tissue after curettage and grades the degree of post-nasal space obstruction using fibre-optic nasopharyngoscopy.
METHODS
A retrospective study of 425 consecutive patients undergoing curette adenoidectomy in a 5-year period.
RESULTS
Of the 425 patients, 288 (68%) had some residual adenoid tissue evident with nasopharyngoscopy, of which 104 (24%) had significant obstruction (grade 2 or 3). No age or sex difference was found in the likelihood or severity of residual adenoid tissue.
CONCLUSIONS
A significant proportion of patients will have residual adenoid tissue following curette adenoidectomy alone. Nasopharyngoscopy permits a more complete resection in a cost-effective, quick and easily performed additional step.
目的
刮除术腺样体切除术是腺样体切除术最常用的方法之一。本研究报告刮除术后残留腺样体组织的发生率，并使用纤维鼻咽喉镜对鼻后间隙阻塞程度进行分级。
方法
对连续5年接受刮除术腺样体切除术的425例患者进行回顾性研究。
结果
425例患者中，288例（68%）经鼻咽喉镜检查可见有残留腺样体组织，其中104例（24%）有明显阻塞（2级或3级）。残留腺样体组织的可能性或严重程度在年龄或性别上未发现差异。
结论
相当一部分患者仅行刮除术腺样体切除术后会有残留腺样体组织。鼻咽喉镜检查可在一个经济有效、快速且易于实施的额外步骤中实现更彻底的切除。
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