查詢結果分析
相關文獻
- Efficacy and Safety of Transoral Endoscopic Microdebrider-assisted Adenoidectomy
- Endoscopic Guided Antegrade Esophageal Dilatation in Children
- 小兒消化醫學講座--孩童的經皮內視鏡骨造瘻術
- 兒童慢性鼻及鼻竇炎
- 早期聲門癌以內視鏡二氧化碳雷射顯微手術治療的長期追蹤結果
- Systemic Penicillium Marneffei Infection in a Child with Common Variable Immunodeficiency
- Intraluminal Mucin Pool in Mucinous Gastric Adenocarcinoma: A Case Report
- Biliary Ascariasis Induced Acute Pancreatitis: A Case Report
- Spontaneous Cerebrospinal Fluid Rhinorrhea: A Case Report
- Evaluation of Topographic Gastric Histology in H. Pylori Infection--A Comparative Study with CLO Test and Bacterial Culture
頁籤選單縮合
題 名 | Efficacy and Safety of Transoral Endoscopic Microdebrider-assisted Adenoidectomy=經口內視鏡微創腺樣體切除手術之效益與安全性 |
---|---|
作 者 | 邱顯育; 黃弘孟; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷 期 | 48:1 2013.01-03[民102.01-03] |
頁 次 | 頁39-44 |
分類號 | 416.87 |
關鍵詞 | 腺樣體切除手術; 內視鏡; 孩童; Adenoidectomy; Endoscopy; Children; |
語 文 | 英文(English) |
英文摘要 | OBJECTIVE: The aim of the study was to evaluate the efficacy of transoral endoscopic microdebrider-assisted adenoidectomy (TEMA) compared to a combined method of conventional adenoidectomy with transnasal endoscopic adenoidectomy (CCTEA) for one year follow-up.METHODS: We enrolled 120 children with obstructive adenoid hypertrophy in the study. All patients had chronic nasal obstruction; they were randomly classified into the TEMA and CCTEA groups, each comprising 60 patients. Using a 90-degree endoscope, the patients in the CCTEA group underwent adenoidectomy using an adenoid curette transorally, whereas patients in the TEMA group underwent adenoidectomy using microdebrider transorally. Surgical outcomes were assessed with respect to operating time, blood loss, patency of the posterior choana, visual analogue scale. Assessments were conducted prior to and one year subsequent to surgery completion.RESULTS: The operative time for TEMA group was shorter than that of CCTEA. (p < 0.001) The TEMA group had less blood loss than that of CCTEA group. (p < 0.001) Four of the 60 patients in CCTEA had postoperative hemorrhage, while none of the TEMA group had. Compared to preoperative values, subjective complaints (nasal obstruction, rhinorrhea, and snoring) showed significant improvement 1 year postoperatively in both groups (p < .05 for both). No significant difference was noted among the subjective complaints between TEMA and CCTEA.CONCLUSIONS: TEMA was equally effective in relieving nasal obstruction 1 year after surgery, compared to CCTEA. Furthermore, it provides a better option for prevention of complications than CCTEA because of its better control of manipulation. |
本系統中英文摘要資訊取自各篇刊載內容。