鼻窦内窥镜下行小儿腺样体切除术临床疗效观察

发布时间：2017-12-31 16:38

本文关键词：鼻窦内窥镜下行小儿腺样体切除术临床疗效观察　出处：《交通医学》2016年05期 　论文类型：期刊论文

【摘要】：目的:研究分析鼻窦内窥镜下行小儿腺样体切除术的临床效果。方法:选取鼻窦内窥镜下行小儿腺样体切除术患儿68例作为观察组,再选择同期收治的行保守药物治疗患儿68例作为对照组,对比两组治疗总有效率、治疗前后各症状、体征情况。结果:观察组治疗总有效率为95.59%,高于对照组的73.53%,差异具有统计学意义(P0.05);观察组治疗后打鼾、中耳炎、发育障碍、张口呼吸以及睡眠呼吸暂停等症状发生率为14.71%、1.47%、1.47%、2.94%、2.94%,分别低于对照组的51.47%、13.24%、13.24%、27.94%、25.00%,差异均具有统计学意义(P0.05)。结论:鼻窦内窥镜下行小儿腺样体切除术效果显著,可明显提高治疗有效率,改善患儿临床症状,值得推广。
[Abstract]:Objective: to study the clinical effect of adenoidectomy under endoscopic sinus in children. Methods: 68 children with adenoidectomy under endoscopic sinus surgery were selected as observation group. 68 children who were treated with conservative drugs in the same period were selected as the control group. The total effective rate, symptoms and signs before and after treatment were compared between the two groups. Results: the total effective rate of the observation group was 95.59%. It was higher than that of control group (73.53), the difference was statistically significant (P 0.05). The incidences of snoring, otitis media, dysplasia, mouth opening breathing and sleep apnea in the observation group were 14.71% and 1.47% respectively. Lower than the control group (51.47%) 13.24% lower than the control group (27.94%). Conclusion: the effect of adenoidectomy for children under endoscopic sinus surgery is significant, which can obviously improve the effective rate of treatment and improve the clinical symptoms of children, and it is worth popularizing.
【作者单位】：南通市第一人民医院耳鼻咽喉头颈外科;
【分类号】：R766.9
【正文快照】： 腺样体会随着儿童年龄的增加而增大,且在2~6岁时增长最快,而在此时最容易发生腺样体肥大[1]。此病通常可采用药物治疗或手术治疗。随着微创手术的不断发展和医疗器械的显著改进,鼻窦内窥镜下腺样体切除术已被逐渐运用于腺样体肥大[2]。为进一步探究此手术的治疗效果,本文选取2

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