跨口内镜辅助腺切除术:一项前性研究
Mohamed Zahran1,2, Ahmed Ashour2
1Department of Otolaryngology-Head and Neck Surgery, Alexandria University Hospital, Alexandria, Egypt.
International archives of otorhinolaryngology
|March 5, 2026
概括
与盲目切相比,穿口内切除术提供了一种更安全,更完整的状组织切除方法. 这种技术最大限度地降低了儿科患者的不完全切除和周围结构损伤的风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 腺切除术是一种常见的儿科手术.
- 传统的盲人除有缺点,包括不完全切除和对欧斯塔基管的潜在损伤.
- 需要一种更安全,更有效的技术.
研究的目的:
- 用70度内镜演示一个穿口内镜腺切除术的技术.
- 评估这种内镜方法的安全性和有效性.
主要方法:
- 一项前性研究包括96名患有腺增大症的儿科患者.
- 所有患者都接受了70度范围的跨口内镜腺切除术.
- 随访包括光纤扫描仪检查手术后1年.
主要成果:
- 只有4.16%的患者在尤斯塔希管孔附近经历了轻微的腺再生,没有症状.
- 内镜技术允许完全去除腺体组织.
- 据报道,邻近建筑物没有受损.
结论:
- 透口内切除术是一种安全且技术上可行的替代盲目切除术.
- 这种方法降低了不完全去除的可能性,并最大限度地降低了阳性损伤的风险.
- 内镜腺切除术在儿科患者中提供了优异的结果.
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