目的探讨鼻内镜用于经口腺样体切吸术的可行性和优点。方法在鼻内镜和电视监视下经口行腺样体切吸术48例,治疗由腺样体肥大引起的阻塞性睡眠呼吸暂停综合征、分泌性中耳炎和鼻窦炎。结果术后腺样体切割干净,无残体残留,鼻咽部结构显示良好,患者症状消失或明显减轻。结论该手术能在直视下进行,增加了手术安全性和准确性,病变切除更加彻底,手术疗效明显,并发症少。 Objective To explore the feasibility and advantages of endoscopic sinus surgery for oral adenoidectomy. Methods 48 patients underwent endoscopic adenoidectomy under nasal endoscopy and television monitoring for obstructive sleep apnea syndrome, secretory otitis media and sinusitis caused by adenoid hypertrophy. Results The adenoids were clean and no residue remained after the operation. The structure of the nasopharynx was well and the symptoms disappeared or obviously relieved. Conclusion The operation can be performed under direct vision, which increases the safety and accuracy of the operation. The surgical resection is more complete and the curative effect is obvious with fewer complications.