鼻内窥镜下低温等离子射频术与腺样体刮除术联合扁桃体剥离术治疗儿童鼾症的比较研究

发布时间：2018-01-07 15:28

本文关键词：鼻内窥镜下低温等离子射频术与腺样体刮除术联合扁桃体剥离术治疗儿童鼾症的比较研究　出处：《中国内镜杂志》2015年12期 　论文类型：期刊论文

【摘要】：目的分析鼻内窥镜下低温等离子射频术与腺样体刮除术联合扁桃体剥离术治疗儿童鼾症的临床疗效比较。方法选择在该院接受手术治疗的鼾症儿童116例作为研究对象,随机分为接受鼻内窥镜下低温等离子射频术治疗的观察组及接受腺样体刮除术联合扁桃体剥离术治疗的对照组,比较两组患儿的手术相关指标、治疗效果及疼痛评分差异。结果观察组患者手术时间(25.17±3.08)min、术中出血量(15.38±7.17)ml、术后疼痛时间(2.54±1.54)d、症状缓解时间(7.42±3.24)d、术后6、24、48和72 h疼痛评分(4.14±0.71)、(3.42±0.65)、(2.87±0.51)和(2.16±0.43)分均明显低于对照组;治愈率和有效率(74.14%、94.83%)明显高于对照组。结论鼻内窥镜下低温等离子射频术有助于优化鼾症儿童的手术进程,提升治疗效果,缓解术后疼痛。
[Abstract]:Objective To compare the curative effect of low - temperature plasma radiofrequency ( RF ) and adenoidal scraping combined with adenoidal scraping in the treatment of children ' s snoring . Methods : The operative time ( 25.17 卤 3.08 ) min , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 74.14 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 74.14 卤 1.54 ) d , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days , symptom relieving time ( 7.42 卤 3.24 ) d , postoperative pain time ( 2.54 卤 1.54 ) days ,

【作者单位】：江苏省徐州市中心医院耳鼻喉科;
【分类号】：R766.9
【正文快照】： 鼾症在儿童中较为常见,由扁桃体及腺样体肥大造成,行手术切除病变组织,改善鼻腔狭窄的现状可以显著缓解临床症状。对于鼾症治疗的传统手术方式为腺样体刮除术及扁桃体剥离术,但是该手术创伤较大,可以损伤周围正常组织导致出血较多,患儿术后疼痛剧烈,对于早期康复无益[1]。随着

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