鼻内镜辅助低温等离子腺样体切除术的临床疗效观察

发布时间：2018-03-28 17:13

本文选题：腺样体肥大　切入点：鼻内镜　出处：《中国内镜杂志》2017年09期

【摘要】：目的评估鼻内镜辅助低温等离子腺样体切除术的临床疗效。方法该研究共纳入2012年5月-2016年8月因腺样体肥大在该院行腺样体切除术的患儿100例,将其随机分为观察组(50例)和对照组(50例),观察组患儿行鼻内镜辅助腺样体低温等离子消融术,对照组患儿行鼻内镜辅助腺样体电动切割术。分析和比较两组的手术时间、出血量、鼻腔恢复通气时间、临床疗效和术后并发症等。结果观察组的手术时间为(4.9±1.6)min、出血量为(19.6±5.6)ml、鼻腔恢复通气时间为(2.9±0.5)d,均明显少于对照组的(11.9±3.9)min、(61.6±12.1)ml和(5.9±1.6)d,两组间差异均有统计学意义(P0.05)。观察组的临床疗效为92.0%,与对照组86.0%相比,两组间差异无统计学意义(P0.05)。观察组中,疼痛指数为(1.8±1.0)分,明显低于对照组(5.6±2.1)分,两组间差异具有统计学意义(P0.05),而两组患儿在术后出血、发热和鼾声方面差异均无统计学意义(均P0.05)。另外,观察组中,无患儿出现并发症,对照组并发症发生率为10.0%,两组间差异具有统计学意义(P0.05)。结论鼻内镜辅助低温等离子消融术治疗腺样体肥大的临床疗效显著,疼痛小,并发症少,可作为治疗小儿腺样体肥大的常规临床术式。
[Abstract]:Objective to evaluate the clinical efficacy of endoscopic hypothermic adenoidectomy. Methods 100 children with adenoidectomy due to adenoid hypertrophy from May 2012 to August 2016 were enrolled in this study. It was randomly divided into the observation group (n = 50) and the control group (n = 50). The children in the observation group were treated with low temperature adenoid ablation under nasal endoscopy, and the children in the control group were treated with endoscopic assisted adenoidectomy. The operation time of the two groups was analyzed and compared. Blood loss, nasal cavity ventilation time, Results the operative time, bleeding volume and nasal ventilation time of the observation group were 4.9 卤1.6 min, 19.6 卤5.6 ml and 2.9 卤0.5 min, respectively, which were significantly lower than those of the control group (11.9 卤3.9 min, 61.6 卤12.1)ml and 5.9 卤1.6 days, respectively). The difference between the two groups was statistically significant (P 0.05). The curative effect was 92.0%, compared with 86.0% in the control group. The pain index in the observation group was 1.8 卤1.0, which was significantly lower than that in the control group (5.6 卤2.1). The difference between the two groups was statistically significant (P 0.05). There was no significant difference in fever and snoring (P 0.05). In addition, there were no complications in the observation group. The incidence of complications in the control group was 10.0, and the difference between the two groups was statistically significant (P 0.05). Conclusion nasal endoscope assisted hypothermic plasma ablation is effective in the treatment of adenoid hypertrophy, with less pain and less complications. It can be used as a routine clinical procedure for the treatment of adenoid hypertrophy in children.
【作者单位】：浙江省金华市中心医院耳鼻咽喉-头颈外科;
【分类号】：R766.9

【相似文献】