等离子腺样体切除对治疗儿童鼻窦炎的疗效观察

Effect of Low Temperature Plasma Ablation on Symptoms Improvement in Sinusitis Children with Symptoms of Adenoidal Hypertrophy

目的:观察比较有腺样体肥大症状的鼻窦炎儿童行等离子低温消融术或药物保守治疗前后的腺样体肥大相关鼻窦炎症状改善情况。方法:60例有腺样体肥大症状的鼻窦炎儿童随机分为两组,手术组(n=34):患儿接受等离子低温消融术;非手术组(n=26):药物保守治疗。每个儿童的症状由其父母描述。术后6个月观察评估残留症状。结果:手术组患儿鼻窦炎总有效率显著高于非手术组患儿(97.06% vs.11.54%,P<0.05),34例手术组患儿术后30例上述症状完全消失,而26例保守治疗组患儿症状完全消失者仅有1例,即手术组治愈率显著高于药物保守治疗组(88.23% vs.3.85%,P<0.01)。结论:与保守治疗相比,等离子低温消融术显著减轻和改善鼻窦炎伴腺样体肥大儿童的症状,安全、有效。

Objective： To compare the effects of low temperature plasma ablation with conservative treatment on symptoms improvement in sinusitis children who had adenoid hypertrophy. Method：Sixty children were divided into two groups randomly. LTPA group（n=34）： children underwent low temperature plasma ablation; control group（n=26）： children were treated by conservative method. The symptoms of each child were described by their parents. Six months after the operation, the children were re-evaluated for remaining or residual symptoms. Result： The effective rate was significantly higher in LTPA group than in control group（97.06% vs. 11.54%, P〈0.05）. We found that 30 of 34 children completely recovered from their preoperative symptoms, while only 1 of 26 those children who accepted conservative treatment completely recovered from their symptoms （88.23% vs.3.85%, P〈0.01 ）. Conclusion：Compared with conservative treatment, low temperature plasma ablation provided significant relief and improvement of preoperative presenting symptoms, and it is safe and effective.