Objective To investigate the curative effect of nasal endoscopy low - temperature plasma radiofrequency on adenoid hypertrophy and its precautions.Methods The clinical data of 23 adenoid hypertrophy patients receiving treatments in our hospital from June 2008 to July 2010 were analyzed retrospectively.All patients received nasal endoscope low - temperature radiofrequency ablation in local anesthesia.Results All patients completed treatments on one round, with blood loss of 1 ～ 4 ml, postoperative wound forming albuginea not needing special treatment, and were given conventional intravenous antibiotics to prevent infection.Follow - up lasted 3 ～ 13 months, bleeding and other adverse reactions were not noted.Seven patients had small amount of residues and were not treated because no discomforts or primary disease occurred.The original symptoms were relieved in different degree or disappeared.Conclusion For older children, nasal endoscope low - temperature plasma radiofrequency ablation in local anesthesia is easy to operate, minimally invasive, less painful, inexpensive, which is adapt to primary hospitals.%目的 探讨鼻内镜下低温等离子射频治疗腺样体肥大的疗效及注意事项.方法 回顾性分析2008年6月-2010年7月我院治疗的23例腺样体肥大患儿的临床资料,均采用局麻,在鼻内镜下行低温等离子射频消融术.结果 患者均一次完成治疗,出血量1～4 ml,术后创面即形成白膜,无需特殊处理.常规静脉滴注抗生素预防感染.随访3～13个月,无出血,亦无其他不良反应发生.7例有少量残留,因无任何不适且原发病灶消失无复发,不予处理,原有症状均有不同程度减轻或消失.结论 对于年龄较大儿童采用局麻,在鼻内镜下低温等离子射频消融术治疗腺样体肥大具有操作简单、微创、痛苦小、花费少等特点,适合在基层医院开展.
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