儿童腺样体肥大120例临床分析

Clinical Analysis of Adenoid Hypertrophy In 120 Children

目的比较2种不同手术方法治疗儿童腺样体肥大的临床症状及心理行为改善情况.方法 120例患者随机分为对照组、观察组各60例;对照组采用传统腺样体刮除术;观察组采用鼻内镜辅助下经口动力系统腺样体切除术.评估2组术后3个月鼻塞、鼻漏、夜间打鼾及听力等临床症状的改善和2组术前与术后3个月儿童心理行为的改善情况.结果 2组术后3个月临床主要症状均有明显改善,观察组比对照组改善更为显著(P<0.05);术后3个月2组心理行为总粗分及检出率较术前相比均明显下降,2组间比较差异有统计学意义(P<0.05).结论鼻内镜辅助下经口动力系统腺样体切除术为理想的治疗腺样体肥大的手术方式,值得临床推广.

Objective To compare the clinical effectiveness and the improvement of mental behavior in children of adenoid hypertrophy with the two different operation approaches. Methods 120 children were randomized into control group （60 cases） and trial group （60 cases）. The control group received traditional adenoidectomy while the trial group received nasal endoscopic-assisted transoral adenoidectomy. We compared clinical symptoms of nasal obstruction, rhinorrhea, night snore, aeouesthesia in the two groups after operation 3 months. We also compared the improvement of mental behavior in children between preoperative and postoperative 3 months. Results The main clinical symptoms were improved obviously in the two groups 3 months after operation. The trial group was better than the control group （P〈0.05）. The abnormal behavior detection rate and total coarse points in the two groups 3 months after operation were significantly lower than preoperation. There was significant difference between the two groups （P 〈0.05）. Conclusion Nasal endoscopic-assisted transoral adenoidectomy is an ideal way to cure adenoid hypertrophy in children, thereby worthy of further promotion and application.