腺样体切除术治疗儿童慢性鼻-鼻窦炎的临床研究

Clinical study on adenoidectomy in the treatment of chronic rhinosinusitis in children

目的观察腺样体切除术治疗儿童慢性鼻-鼻窦炎(CRS)的临床疗效,探讨其术后并发症和术后康复情况。方法选取2011年2月至2013年4月来东莞市厚街医院耳鼻咽喉外科住院治疗的CRS患儿100例,分为实验组和对照组,每组各50例。实验组给予药物联合腺样体切除术治疗,对照组给予单纯药物内服加外服治疗。观察两组术后并发症及术后恢复情况,对比两组治疗效果。结果总有效率实验组为96%,对照组为60%,两者差异有统计学意义(P<0.05);与术前比较,实验组术后打鼾、流脓涕、窦口通畅等情况差异有统计学意义(P<0.05)。而且,实验组和对照组在住院天数方面比较相差较大,对照组不仅住院费用高、住院天数长,复发率也相对高(P<0.05)。结论腺样体切除术联合药物治疗儿童CRS较单纯药物治疗方式疗效显著,值得临床推广。

Objective To observe the clinical effect of adenoidectomy in the treatment of children with chronic rhinosinusitis ,to discuss its postoperative complications and postoperative rehabilitation .Methods Chose 100 children with chronic rhinosinusitis from February 2011 to April 2013 treated in our hospital as observation objects ,the cases were randomly divided into experimental group and control group ,with 50 cases in each group ,patients in experimental group was given drug and adenoidectomy treatment ;patients in control group was given drug orally external treatment only .Observed the postoperative complications and postoperative recovery ,then compared treatment effect of two groups .Results The total efficiency of experimental group was 96% ,control group was 60% ,the difference was statistically significant （P〈0 .05）;compared with those before operation ,there were significant differ-ence in experiment group in postoperative snoring ,purulence stuff ,sinus patency ,etc（P〈0 .05） .Moreover ,experimental group and control group had difference in hospitalization days .The control group not only had high cost and long hospital stay but also had relatively high recurrence rate （P〈0 .05） .Conclusion The curative effect of adenoidectomy combined with drugs in the treatment of children with chronic rhinosinusitis was much better than drug treatment only .