两种不同术式治疗儿童腺样体肥大的临床分析

Clinical Analysis of Two Different Surgical Treatment of Adenoidal Hypertrophy

目的比较鼻内镜下低温等离子消融及吸割术治疗儿童腺样体肥大的疗效和安全性。方法分别对60例3~12岁腺样体肥大患儿行鼻内镜下低温等离子消融及吸切术治疗。结果 2组术后疗效（打鼾恢复有效率,鼻塞、鼻漏恢复有效）比较无统计学意义（P〉0.05）,而2组其他各项指标（手术时间、腺样体切除时间、术中出血量、术后疼痛时间及有无圆枕损伤、鼻腔达到正常通气时间）的比较有统计学意义（P〈0.05,P=0）。结论鼻内镜下等离子低温消融治疗儿童腺样体肥大较吸切术更具优势。

Objective To comparative Endoscopic low-temperature plasma ablation and suction cut adenoidal hypertrophy of the efficacy and safety of treatment. Methods 120 aged 3-12 adenoidal hypertrophy children underwent Endoscopic low temperature plasma ablation and suction resection. Results Two groups after curative effect （snoring recovery efficiency, stuffy nose, runny nose recovery effective） is no statistical significance（P〉0.05）, and two groups operation indices （adenoidectomy time, operation time, intraoperative amount of bleeding, whether round pillow injury and the duration of postoperative pain, nasal normal ventilation time） of more statistical significance（P〈0.05, P=-0）.Conelusion Nasal endoscopic treatment of low temperature plasma ablation of adenoid hypertrophy in children is suction to cut method more advantage.