鼻内窥镜下腺样体切割联合扁桃体摘除术与传统手术方法治疗儿童鼾症的临床效果探讨

To Investigate the Clinical Efficacy of the Combined Nasal Endoscopic Adenoidectomy and Tonsillectomy with Traditional Surgical Treatment for Children with Snore Disease

目的:探讨儿童鼾症采用鼻内窥镜下腺样体切割联合扁桃体摘除术式治疗的临床效果。方法:选取笔者所在医院2015年1月-2016年10月收治的儿童鼾症患儿50例,根据治疗方式不同分为两组,其中25例实施传统扁桃体摘除术联合腺样体刮除术治疗的为对照组,另25例实施鼻内窥镜下腺样体切割联合扁桃体摘除术治疗的为观察组,观察两组患儿临床疗效和手术相关指标变化情况。结果:两组患儿治疗后,病情均有所改善,且观察组患儿治疗总有效率96.0%,明显高于对照组的76.0%,观察组患儿术中出血量、手术时间及住院时间等均明显优于对照组,差异均有统计学意义(P<0.05)。结论:鼻内窥镜下腺样体切割联合扁桃体摘除术治疗儿童鼾症,能够有效地提高临床治愈率,术中出血量少,手术时间短,可作为临床治疗儿童鼾症的良好术式。

Objective： To Investigate the clinical efficacy of combined nasal endoscopic adenoidectomy and tonsillectomy with traditional surgical treatment for children with snore disease.Method： 50 cases of children with snore disease admitted to our hospital from January 2015 to October 2016 were divided into two groups according to different treatment methods.Among them, 25 cases treated with the combined conventional tonsillectomy with adenoid curettage were served as the control group, and the other 25 cases treated with the combined nasal adenoidectomy and tonsillectomy were served as the observation group.Observed the clinical efficacy and changes in the relevant indicators for patients in two groups after treatment.Result： After treatment, the illness of patients in two groups was improved, and the total eciency of the observation group（96.0%） was better than 76.0% in the control group, the intraoperative bleeding volume, operation time and hospitalization time in the observation group were better than those in the control group, the differences were statistically significant（P〈0.05）.Conclusion： The combined nasal endoscopic adenoidectomy and tonsillectomy in treating child snore disease can effectively improve the clinical cure rate with less intraoperative bleeding, and short operation time so that it can be use as a surgical method for clinical treatment of children with snore disease.