低温等离子射频消融术治疗儿童慢性鼻窦炎伴腺样体肥大的临床效果观察

Clinical observation of low temperature plasma radiofrequency ablation in the treatment of chronic sinusitis in children with adenoid hypertrophy

目的探讨低温等离子射频消融术治疗儿童慢性鼻窦炎伴腺样体肥大的临床效果。方法选择2015年7月至2016年4月于本院接受治疗的慢性鼻窦炎伴腺样体肥大患儿77例为研究对象。根据患儿家属意愿将入选患儿分为对照组(42例)与手术组(35例),对照组患儿给予内镜鼻窦手术治疗,手术组患儿在传统药物治疗基础上联合低温等离子射频消融术治疗。比较两组患儿治疗效果、治疗前后症状严重程度评分及患儿家属满意度。结果手术组患儿治疗总有效率和家属满意率均显著高于对照组(P<0.05)。治疗后除打鼾外,两组患儿的临床症状较治疗前均显著缓解(P<0.05),手术组患儿鼻塞、流涕及听力下降的症状缓解情况均显著优于对照组(P<0.05)。结论低温等离子射频消融术切除肿大腺样体可以有效缓解儿童慢性鼻窦炎伴腺样体肥大的症状,具有安全、有效、易操作、损伤小等优点。

After more than ten years of development, laparoscopic technology has shown some advantages in the treatment of adenocarcinoma of esophagogastric junction. Because of the special anatomical location and biological characteristics of the esophagogastric junction adenocarcinoma, there is no high-quality prospective study to demonstrate the role of laparoscopic technology in its treatment. For different classification, the laparoscopic surgery is also lack of guidance. This article mainly reviewed the laparoscopic digestive tract reconstruction methods of Siewert Ⅱ, Ⅲ .