鼻镜手术与局部类固醇激素治疗小儿腺样体肥大临床观察

Study on the Therapeutic Effect of Nasal Endoscopic Surgery for Adenoid Hypertrophy in Children

目的:探究小儿腺样体肥大应用鼻镜手术疗法的效果。方法:择取佛山市第一人民医院2012年7月至2013年12月收治的小儿腺样体肥大患者110例。按临床随机数表法分成观察组与对照组,各55例。观察组实施"鼻镜+局部类固醇激素"治疗,对照组实施鼻镜治疗。全面观察两组患者术后腺样体的情况。结果:观察组的显效率为98.18%,显著高于对照组的85.45%,组间比较,差异具有统计学意义(P<0.05)。针对术后第6及第12个月中腺样体增生的发生率,观察组均显著低于对照组,组间比较,差异具有统计学意义(P<0.05)。结论:对小儿腺样体肥大患者,实施"鼻镜+局部类固醇激素"治疗,可显著改善患者淋巴组织的增生情况,利于其病情的恢复。

Objective To explore the effect of endoscopic sinus surgery for the treatment of adenoid hypertrophy in children. Methods 110 cases in our hospital from July 2012 to December 2013 were selected which were with adenoid hypertrophy and were randomly divided into study group and control group, 55 cases in each group. The study group was treated with endoscopic sinus surgery plus topical steroids, and the control group was treated with endoscopic sinus surgery. Results Team＇s efficiency was 98.18%, significantly higher than 85.45% in the control group. Compared the two groups, the difference statistically significant（P 〈0.05）.Aimed at 6 and 12 months after the incidence of hyperplasia of adenoidectomy, group were significantly lower than the control group. Compared the two groups, the difference statistically significant（P 〈0.05）. Conclusion In patients with infantile adenoid hypertrophy, implement ＂nasal endoscopic ＋ topical steroid hormone treatment, can significantly improve patients with lymphoid tissue hyperplasia, beneficial to the recovery of the illness, higher application value.