腺样体切除术后出血：我们是怎么做的？
Postadenoidectomy hemorrhage: how we do it?
作者信息
Demirbilek Nevzat, Evren Cenk, Altun Uzay
机构信息
Department of ENT, Medilife Beylikduzu Hospıtal Istanbul, Turkey.
出版信息
Int J Clin Exp Med. 2015 Feb 15;8(2):2799-803. eCollection 2015.
AIMS
Conventionally, adenoidectomy has been performed using blind curettage. Postoperative hemorrhage is the most common complication of surgery. There is no specific management algorithm in the literature. In this study, we described an endoscopic approach in the management of postadenoidectomy hemorrhage.
MATERIAL AND METHODS
Between 1995 and 2014, 7946 patients undergoing adenoidectomy under general anesthesia in our clinic were retrospectively analyzed. All patients had a rest adenoid tissue located in the choanae. Endoscopic excision of the tissue was performed without using a post-nasal pack.
RESULTS
All patients (100%) had a rest adenoid tissue located in the choanae. Hemorrhage was completely discontinued with endoscopic excision of the hemorrhagic tissue.
CONCLUSION
Based on our study findings, we conclude that an endoscopic approach should be applied in all postoperative patients with hemorrhage who are unresponsive to conservative treatment modalities.
目的
传统上，腺样体切除术采用盲目刮除术。术后出血是该手术最常见的并发症。文献中没有具体的处理方案。在本研究中，我们描述了一种内镜下处理腺样体切除术后出血的方法。
材料与方法
回顾性分析1995年至2014年期间在我院接受全身麻醉下腺样体切除术的7946例患者。所有患者在鼻后孔均有残余腺样体组织。在不使用后鼻孔填塞的情况下，对该组织进行内镜切除。
结果
所有患者（100%）在鼻后孔均有残余腺样体组织。通过内镜切除出血组织，出血完全停止。
结论
基于我们的研究结果，我们得出结论，对于所有保守治疗无效的术后出血患者，均应采用内镜治疗方法。
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