团体标准 T/NAHIEM 122-2024 ÖÎÁƼ¼Êõ±ê×¼ 2024-9-20¶ùͯ±âÌÒÌåÏÙÑùÌåµÍεÈÀë×Ó ÉäƵÏûÈÚÊõ¹æ·¶»¯ 发布 2024-9-20 实施ICS11.020 Q8411 全国卫生产业企业管理协会 ·¢²¼Standardized Treatment Technology for Pediatric Tonsillectomy and Adenoidectomy with Low - Temperature coblation 全国团体标准信息平台 目儿童扁桃体腺样体低温等离子 ÉäƵ消融术规范化治疗技术标准 录 前言............................................................................................................................................................................5 一、范围..................................................................................................................................................................6 二、规范性引用文件...........................................................................................................................................6 三、术语和定义....................................................................................................................................................6 四、缩略词表：....................................................................................................................................................7 五、总则（李晓艳）...........................................................................................................................................8 六、扁桃体的解剖学、腺样体的解剖学（姚红兵）..............................................................................8 1.扁桃体的解剖学......................................................................................................................................8 2.腺样体的解剖学（姚红兵）...............................................................................................................8 七、检查方法（倪、孙）..................................................................................................................................9 1.常规体格检查...........................................................................................................................................9 2.内镜检查....................................................................................................................................................9 3.头颅定位侧位片......................................................................................................................................9 4.CT及MRI检查:........................................................................................................................................9 八、手术的适应证与禁忌证（沈蓓、高兴强、夏忠芳）...................................................................15 1.手术适应证.............................................................................................................................................15 2.手术禁忌证.............................................................................................................................................15 九、术前准备（沈蓓、韩富根、夏忠芳）...............................................................................................16 1.常规检查..................................................................................................................................................16 2.专科检查..................................................................................................................................................16 3.高危患儿检查.........................................................................................................................................16 4.知情同意书...............................................................................................................................................17 5.术前宣教...................................................................................................................................................17 6.手术当天...................................................................................................................................................17 十、与扁腺肥大相关的牙颌面畸形的管理与预防性治疗（贺红）................................................18 十一、手术流程（刘大波、钟建文、倪丽艳、姚红兵、谷庆隆）................................................18 1.暴露方式..............................