低温等离子辅助下儿童腺样体、扁桃体手术并发症分析

发布时间：2018-11-15 17:22

【摘要】：目的:分析低温等离子辅助儿童腺样体、扁桃体手术的并发症情况。方法:对2 089例低温等离子辅助下儿童腺样体、扁桃体手术病例进行回顾性分析,采用流行病学方法对病例人群的一般情况、手术方式、术中及术后并发症情况进行调查分析。结果:(1)2 089例病例中,男1 411例,女678例,男女比例2.08:1;年龄(5.87±3.12)岁,其中3~7岁最多,占76.35%(1 595/2 089)。(2)全部病例均行腺样体切除术,扁桃体采用部分切除术69.17%(1 445/2 089),单纯打孔扁桃体消融术占22.26%(465/2 089),扁桃体全切除术占8.57%(179/2089);手术时间(30.15±8.26)min,术中出血量(8.52±3.18)ml,术后疼痛评分(3.77±1.61)分。(3)术后并发症的发生情况为出血5例(0.24%)、复发3例(0.14%)、椎前淋巴结炎20例(0.96%)、其他6例(圆枕增生2例、呼吸困难2例、烫伤1例、鼻咽粘连1例,0.29%),术后发热205例(9.81%)。结论:低温等离子技术是一治疗儿童腺样体、扁桃体疾病的高效、低并发症的好方法。但提高手术操作熟练程度及技巧是减少并发症的重要环节。
[Abstract]:Objective: to analyze the complications of hypothermic plasma-assisted adenoid and tonsil surgery in children. Methods: a retrospective analysis of 2089 children with adenoid and tonsillar surgery assisted by hypothermic plasma was carried out. The general situation, operation mode, intraoperative and postoperative complications of the patients were investigated and analyzed by epidemiological method. Results: (1) among 2 089 cases, 1 411 cases were males and 678 cases were females, the ratio of males to females was 2 08: 1; The age of patients was (5.87 卤3.12) years old, of whom 3 or 7 years old was the most, accounting for 76.35% (1 595 / 2 089). (2) all patients underwent adenoidectomy, and partial tonsillectomy was performed in 69.17% (1 445 / 2 089) of tonsils. The rate of tonsillectomy was 22.26% (465 / 2089) and total tonsillectomy was 8.57% (179 / 2089). The operative time was (30.15 卤8.26) min, intraoperative bleeding volume (8.52 卤3.18) ml, postoperative pain score (3.77 卤1.61). (3) postoperative complications occurred in 5 cases (0.24%). Recurrence occurred in 3 cases (0.14%), prevertebral lymphadenitis in 20 cases (0.96%), other 6 cases (2 cases of occipital hyperplasia, 2 cases of dyspnea, 1 case of scalding, 1 case of nasopharyngeal adhesion, 0.29%), and 205 cases (9.81%) of postoperative fever. Conclusion: hypothermia plasma technique is a good method for the treatment of adenoid and tonsil diseases in children. But to improve the skill and skill of operation is an important step to reduce complications.
【作者单位】：解放军总医院第一附属医院耳鼻咽喉科;
【分类号】：R766.9

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