低龄儿童扁桃体不同等离子手术方式的疗效观察

The Clinical Observation on Different Coblation Tonsil Lectomy Methods in Yong Children with Chronic Tonsillar Hypertrophy

目的：比较小年龄儿童不同的扁桃体手术方式对患者术中、术后的影响。方法：随机抽取120例因扁桃体肥大住院扁桃体手术的患者,分为等离子切除单侧扁桃体（单侧组）、等离子射频消融减容扁桃体（减容组）、等离子切除部分扁桃体（部分组）三组。观察三种不同手术方式的手术时间和出血量、术后患者咽部疼痛情况、恢复正常饮食时间,术后随访1个月~1年。结果：三组患儿的上气道梗阻症状消失,扁桃体等离子手术时间短、出血量少、术后疼痛轻,部分组打鼾复发率低于其他两组。结论：扁桃体等离子部分切除术可有效解除上呼吸道阻塞症状,出血量少,术后疼痛轻,又可保留部分扁桃体免疫功能,有更低的打鼾复发率,是低龄儿童较为理想的治疗方法。

Objective：To compare the influences of intraoperative and postoperative in young children with different coblation tonsillectomy methods.Method：120 patients with chornic tonsillar hypertrophy were randomly divided into three groups,coblation plus single tonsillectomy（single group）,coblation plus tissue volume reduction（reduction group）,coblation plus partial intracapsular tonsillectomy（partial group）.The operation time,blood loss,postoperative pain and return to normal diet time were evaluated.All the patients were followed up for 1 months to 1 year after operation.Result：After the operation,all symptoms of upper respiratory tract obstruction disappeared.The operation time,blood loss,and postoperative pain of coblation were significantly less.The intracapsular tonsillectomy in partial group had lower recurrence rate than the other 2 groups.Conclusion：Coblation treatment of partial tonsillectomy can relieve the symptoms of the upper respiratory tract obstruction,it also can reduce bleeding volume,relieve pain and keep the immune function of partial tonsils.It has lower recurrence rate,so it is a comparatively ideal therapeutic way in young children.