腭咽成形术与低温等离子消融术治疗小儿鼾症的临床疗效分析

Analysis of efficacy of palatopharyngoplasty and low temperature plasma ablation in the treatment of pediatric snoring

目的探讨经鼻内镜腺样体联合扁桃体切除中腭咽成形术(PPP)与低温等离子消融术治疗小儿鼾症(OSAHS)的临床疗效。方法回顾性分析OSAHS 136例临床资料,68例采取经鼻内镜PPP治疗(对照组),68例经鼻内镜低温等离子消融术治疗(观察组)。分析两组患者术中情况、术后情况及并发症、复发率、远期疗效等相关指标。结果与对照组相比,观察组患者的手术时间、术中出血量、症状缓解时间、疼痛评分、并发症发生率、复发率均降低;远期疗效增高;但两组患者术后疼痛时间无差别。结论经鼻内镜腺样体联合扁桃体切除中低温等离子消融术较PPP临床疗效好。

Objective To investigate the clinical efficacy of transnasal endoscopic adenoidectomy combined with tonsillectomywith palatopharyngoplasty （PPP） and low temperature plasma ablation （LTPA） in the treatment of pediatric snoring （OSAHS）. Methods 136 cases of OSAHS were divided into the observation group （68 cases）and control group （68 cases） ,and their clinical data were analyzed.The control group was treated by nasal endoscopic PPP ,and the observation group was treated by nasal endoscopic LTPA.Their intraoperative situation,postoperative condition and complication,recurrence rate and long-term efficacy were analyzed. Results Compared to the control group,the operation time,intraoperative blood loss,symptom relief time, pain score ,complication rate and recurrence rate were lower in the observation group ,and the long-term efficacy of the observation group was higher.But the pain time was no significant difference between the two groups. Conclusion Endoscopic adenoidecto- my combined with tonsillectomy in LTPA is more effective than PPP.