扁桃体摘除联合鼻内镜下腺样体切除治疗小儿鼾症的临床疗效观察

发布时间：2018-09-07 07:04

【摘要】：目的探讨对小儿鼾症患儿行扁桃体摘除联合鼻内镜下腺样体切除的临床疗效。方法选择某院2014-05—2016-05收治的鼾症患儿病例100例,对所有患儿进行随机分组,每组50例,给予对照组患儿扁桃体摘除术联合腺样体常规切除术。给予观察组患儿扁桃体摘除术联合鼻内镜下腺样体切除术。比较两组患儿的手术时间、术中出血量和住院时间。并对比两组患儿的治疗效果。结果观察组患儿较对照组手术时间短,术中出血量少,且住院时间更短,两组患儿手术时间、术中出血量和住院时间比较,组间差异有统计学意义,P0.05;观察组患儿总有效率为96.0%(48/50),明显高于对照组患儿的84.0%(42/50),组间差异有统计学意义,P0.05。结论扁桃体摘除联合鼻内镜下腺样体切除治疗小儿鼾症,手术损伤小、术野清晰、疗效确切,能明显减少术中出血,手术时间短,利于患儿术后恢复。
[Abstract]:Objective to investigate the clinical effect of tonsillectomy and endoscopic adenoidectomy in children with snoring. Methods 100 children with snoring were randomly divided into two groups, 50 in each group. Tonsillectomy combined with routine adenoidectomy was performed in the control group. The observation group was treated with tonsillectomy and endoscopic adenoidectomy. The operative time, intraoperative bleeding and hospitalization time were compared between the two groups. The therapeutic effects of the two groups were compared. Results compared with the control group, the operative time, the amount of intraoperative bleeding and the hospitalization time were shorter in the observation group than in the control group, and the operative time, intraoperative blood loss and hospitalization time were compared between the two groups. The total effective rate of the observation group was 96.0% (48 / 50), which was significantly higher than that of the control group (84.0%, 42 / 50). Conclusion tonsillectomy combined with endoscopic adenoidectomy in the treatment of children with snoring has the advantages of less injury, clear operation field and definite curative effect. It can significantly reduce intraoperative bleeding, shorten the operation time, and be beneficial to the recovery of children after operation.
【作者单位】：沈阳市第五人民医院耳鼻喉科;
【分类号】：R766.9

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