Objective To observe the therapeutic effect of adenoid plasma ablation under nasal endoscope on children with snoring condition based on a clinical trial. Methods A retrospective analysis was made among 80 children cases with snoring condition, treated in our Hospital from January 2010 to December 2013 by plasma ablation to remove their hypertrophied adenoid, with their clinical data carefully analyzed to sum up our clinical experience with such a condition. Results All these patients were recovered well, with such symptoms disappeared among them as snoring and mouth breathing and without obvious complications happened. The averaged staying period in hospital was 5.5 days after the operation. As shown by the end of followed up period lasted for 2 to 6 months, nasopharyngeal mucosa was recovered well in an appearance of smooth, with no adhesion and no residual adenoidal tissue present among all these cases. Conclusions Nasal endoscope guided adenoidectomy with plasma ablation can created a much clearer operating field, with such advantages as less bleeding during operation, safer and better therapeutic effect as compared with the conventional procedures.%目的:观察鼻内镜下低温等离子切除腺样体治疗小儿鼾症的临床疗效。方法回顾性分析分析我科2010年1月至2013年12月在鼻内镜下应用等离子刀切除肥大腺样体治疗小儿鼾症80例的临床资料,总结临床经验与体会。结果全部病例术后恢复良好,睡眠打鼾和张口呼吸症状均消失,无明显并发症,平均住院5.5天。术后随访2~6个月,全部病例鼻咽黏膜光滑无粘连,无腺样体残留。结论鼻内镜引导下行腺样体等离子切除术术野清晰,出血少,安全性高,效果良好。
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