鼻内镜下低温等离子消融术治疗腺样体肥大43例临床分析

Clinical effect of endoscopic low-temperature plasma radiofrequency in the treatment of 43 cases of adenoid hypertrophy

目的观察鼻内镜下低温等离子消融术治疗腺样体肥大的临床效果。方法选择我院收治的86例腺样体肥大患者为研究对象,随机将其分为对照组和观察组,每组各43例。对照组采用鼻内镜下腺样体吸切术治疗,观察组采用鼻内镜下低温等离子消融术治疗。比较两组患者的手术情况、治疗效果、随访复发和并发症发生情况。结果观察组患者的住院时间(6.0±1.2)d、术中出血量(57.2±3.1)ml,均明显少于对照组的(9.5±1.3)d和(72.4±3.4)ml,差异均有统计学意义(P<0.05);观察组的治疗总有效率为93.0%,与对照组的88.4%比较,差异无统计学意义(P>0.05);观察组患者腺样体肥大复发率为0,腺样体术后残留率为2.3%,对照组腺样体肥大复发率为2.3%,腺样体术后残留率为4.7%,差异均无统计学意义(P>0.05)。结论鼻内镜下低温等离子消融术治疗腺样体肥大临床效果佳,并发症少,值得临床推广应用。

Objective To observe the clinical effect of the low-temperature plasma endoscopic adenoidectomy in the treatment of adenoid hypertrophy. Methods Eighty-six patients with adenoid hypertrophy were randomly divided into control group and observation group, with 43 cases in each group. The control group adopted the nasal endoscopic adenoidectomy, while the observation group used low-temperature plasma endoscopic adenoidectomy. The situation of surgery, therapeutic effect, follow-up recurrence and complications of the two groups were observed. Results The length of hospital stay and intraoperative blood loss in the observation group were significantly less than those in the control group,（6.0±1.2） d vs（9.5±1.3） d and（57.2±3.1） ml vs（72.4±3.4） ml, P〈0.05. The total effective rate（93.0%） in the observation group showed no statistically significant difference with that in the control group（88.4%）, with P〉0.05. The recurrence rate of adenoid hypertrophy and the rate of postoperative residual adenoid body were 0% and 2.3% in the observation group, 2.3% and 4.7% in the control group, with no statistically significant difference between the two groups（P〉0.05）. Conclusion Low-temperature plasma endoscopic adenoidectomy in the treatment of adenoid hypertrophy results in good clinical effect and fewer complications, which is worthy of clinical popularization and application.