鼻内镜下吸切割器切除术与腺样体刮除术治疗小儿腺样体肥大的临床效果比较

发布时间：2018-03-24 10:33

本文选题：鼻内镜下吸切割器切除术　切入点：腺样体刮除术　出处：《中国实用医药》2016年36期

【摘要】：目的比较分析鼻内镜下吸切割器切除术与腺样体刮除术治疗小儿腺样体肥大的临床效果。方法 66例小儿腺样体肥大患儿,采用数字随机法分成观察组和对照组,各33例。观察组采取鼻内镜下吸切割器切除术治疗,对照组采取腺样体刮除术治疗,比较两组临床效果。结果观察组痊愈28例(84.85%),显效4例(12.12%),无效1例(3.03%),总有效率96.97%,对照组痊愈16例(48.48%),显效11例(33.33%),无效6例(18.18%),总有效率81.82%,观察组患儿总有效率高于对照组,差异有统计学意义(P0.05)。观察组术后出血1例(3.03%),腺样体残留0例,并发症发生率3.03%,对照组术后出血7例(21.21%),腺样体残留5例(15.15%),并发症发生率36.36%,观察组患儿并发症发生率低于对照组,差异有统计学意义(P0.05)。结论鼻内镜下吸切割器切除术治疗小儿腺样体肥大疗效和术后并发症均优于传统腺样体刮除术,是优秀的治疗方式之一。
[Abstract]:Objective to compare and analyze the clinical effect of endoscopic endoscopic curettage and adenoid curettage in the treatment of adenoid hypertrophy in children. Methods 66 children with adenoid hypertrophy were randomly divided into observation group and control group. 33 cases each. The observation group was treated with endoscopic suction cutter, while the control group was treated with adenoid curettage. Results the clinical effects of the two groups were compared. Results in the observation group, 28 cases were cured (84.85), 4 cases were significantly effective (12.12), 1 case was ineffective (3.03g), and the total effective rate was 96.97%. In the control group, 16 cases were cured (48.48%), 11 cases (33.3333%) were effective, 6 cases were ineffective (18.18%), and the total effective rate was 81.82. The total effective rate of the observation group was higher than that of the control group, and the total effective rate was higher in the observation group than in the control group. The difference was statistically significant (P 0.05). In the observation group, there were 1 case of postoperative hemorrhage, 1 case of postoperative hemorrhage, 0 cases of adenoid residue, the incidence of complications was 3.03, 7 cases of postoperative hemorrhage in the control group were 21.21%, 5 cases of adenoid residue were 15. 15%, the incidence of complications was 36.36%, the incidence of complications in the observation group was lower than that in the control group. Conclusion Endoscopic resection of adenoid hypertrophy and postoperative complications are superior to those of traditional adenoidectomy, which is one of the best methods for the treatment of adenoid hypertrophy in children.
【作者单位】：江苏省靖江市人民医院耳鼻喉科;
【分类号】：R766.9

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