鼻内镜下低温等离子消融术和动力切割术治疗儿童腺样体肥大的对比研究

发布时间：2018-06-16 06:32

本文选题：鼻内镜 + 低温等离子消融术　；参考：《中国中西医结合耳鼻咽喉科杂志》2016年06期

【摘要】：目的探讨儿童腺样体肥大(AH)在鼻内镜下应用低温等离子消融术(TCRF)与动力切割术治疗的临床效果。方法选取我院2012年6月~2015年6月收治的138例AH患儿,按随机数字表法等分为两组。在鼻内镜下,对照组采用动力切割术,观察组行TCRF。记录比较两组术中出血量与手术时间,手术前后阻塞性睡眠呼吸暂停-18量表(OSA-18)评分,术后6个月时临床疗效,术后并发症及随访1年期间复发情况。结果观察组术中出血量显著少于对照组(P0.01),两组手术时间比较,差异无统计学意义(P0.05);两组术后6个月时OSA-18评分与术前比较,均显著降低(P0.01),但观察组OSA-18评分与对照组同期相比,差异无统计学意义(P0.05);观察组总有效率为100.00%与对照组98.55%比较,差异无统计学意义(P0.05);两组术后并发症发生率、随访复发率相比,差异也均无统计学意义(P0.05)。结论儿童AH在鼻内镜下应用TCRF治疗效果显著,且更有助于减少术中出血,降低手术对患儿机体的影响,同时在减少术后并发症和控制复发方面也略有优势,具有较高临床参考价值。
[Abstract]:Objective to investigate the clinical effect of low temperature plasma ablation (TCRF) and dynamic cutting for adenoid hypertrophy (AH) in children. Methods 138 patients with AH from June 2012 to June 2015 were randomly divided into two groups. Under nasal endoscopy, the control group was treated with dynamic cutting, and the observation group with TCRF. The volume of blood loss, the time of operation, the score of OSA-18 before and after operation, the clinical effect at 6 months after operation, the postoperative complications and the recurrence during the follow-up of one year were recorded and compared between the two groups. Results the amount of intraoperative bleeding in the observation group was significantly lower than that in the control group (P 0.01), and there was no significant difference in the operation time between the two groups, and the OSA-18 score in the two groups decreased significantly at 6 months after operation compared with the preoperative score, but the OSA-18 score in the observation group was significantly lower than that in the control group at 6 months after operation, but the OSA-18 score in the observation group was significantly lower than that in the control group. The total effective rate of the observation group was 100.00% compared with that of the control group (98.55%), the difference was not statistically significant (P 0.05). The incidence of postoperative complications and the recurrence rate of follow-up were not significantly different between the two groups. Conclusion the effect of TCRF on children with AH under nasal endoscope is remarkable, and it is more helpful to reduce intraoperative bleeding and reduce the influence of operation on the body of children. It also has some advantages in reducing postoperative complications and controlling recurrence. It has high clinical reference value.
【作者单位】：四川省威远县人民医院耳鼻咽喉科;四川省内江市第一人民医院耳鼻咽喉科;
【分类号】：R766.9

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