鼻内镜辅助腺样体切除术与消融术治疗小儿腺样体肥大的疗效研究

Comparison of therapeutic effects of nasal endoscopy assisted resection and ablation in treatment of adenoid hypertrophy in children

目的探讨鼻内镜辅助腺样体切除术与消融术治疗小儿腺样体肥大的临床疗效。方法将该院62例腺样体肥大患儿分为2组,手术组30例患儿采用鼻内镜辅助腺样体切除术治疗,消融组32例患儿使用经鼻内镜下低温等离子消融术治疗。比较2组患儿临床疗效、术后恢复情况及并发症发生率。结果 2组患儿总有效率比较(93.33%vs.90.62%),差异无统计学意义(P>0.05);手术组术中出血量显著高于消融组,差异有统计学意义(t=12.927,P<0.05);手术组术后疼痛程度、咽痛持续时间、恢复正常通气时间均显著低于消融组,差异有统计学意义(t=5.908、8.453、6.557,P<0.05);手术组术后并发症发生率(3.33%)显著低于对照组(31.25%),差异有统计学意义(χ~2=8.269,P<0.05)。结论鼻内镜辅助腺样体切除术治疗小儿腺样体肥大的疗效确切,具有恢复快、并发症少等优点,值得临床进一步研究。

Objective To investigate the effect of nasal endoscopy assisted adenoid body resection in treatment of infantile adenoid hypertrophy. Methods 62 cases of adenoid hypertrophy were divided into two groups. Surgical treatment of 30 cases of children with nasal endoscope assisted resection of adenoid body. The ablation group was treatedwith endoscopic treatment of low temperature plasma radiofrequency ablation. The effects of the two groups, the recovery and the complications of the operation were compared. Results The total effective rate of the two groups was（93.33% vs. 90.62%）. The difference was not statistically significant（P〉0.05）. The bleeding volume in operation group was significantly higher than that in ablation group. The difference was statistically significant （t = 12.927, P 〈 0.05 ）. Operation group, postoperative degree of pain, angina duration, normal ventilation time were significantly lower than those in the ablation group. Difference was statistically significant（t= 5. 908,8. 453,6. 557, P〈 0.05）. The postoperative complication rate（3.33%） was significantly lower than that of the control group（31.25%）. The difference was statistically significant （x^2 = 8. 269, P〈 0.05）. Conclusion Nasal endoscopy assisted with adenoid hypertrophy in the treatment of children with adenoid hypertrophy is effective, with the advantages of rapid recovery, less complications, it is worthy of clinical application.