腺样体手术110例临床分析

Clinical analysis of 110 cases of adenoidectomy

目的比较低温等离子射频下腺样体切除术与常规腺样体刮除术两种术式的疗效。方法回顾性分析110例腺样体肥大患儿,根据患儿采取术式的不同分为低温等离子下腺样体切除术63例(观察组),常规腺样体刮除术47例(对照组);随访6~36个月,复查鼻咽部CT及纤维鼻咽镜。结果手术后30 d,观察组总有效率98.41%(62/63)高于对照组93.62%(44/47),组间差异无统计学意义(P>0.05);手术后1年,观察组总有效率95.24%(60/63),显著高于对照组82.98%(39/47),差异具有统计学意义(P<0.05);36个月时,两组治疗总有效率分别为92.06%(58/63)和72.34%(34/47),差异有统计学意义(P<0.05)。结论低温等离子射频技术切除腺样体具有直观、清晰特点,且远期疗效优于常规腺样体刮除术。

Objective Tocompare the effect of the two surgical methods in the treatment of the adenoidectomy, one for Low temperature plasma radiofrequency technology, the other undergoing conventional adenoidectomy. Methods To analysis of 110 cases of adenoid hypertrophy in childrenretrospectively. The patients were divided into Low temperature plasma radiofrequency technology group（63 cases, observation group）,conventional adenoidectomy group（47 cases, control group）. The patients were followed up for 6 to 36 months and analyzed retrospectively. CT and nasopharyngeal endoscopy were reviewed. Results After one month, the effective rates of the observation group and the control group were 98.41%（62/63）and93.62%（44/47）, respectively. There was no statistically significant difference between the two groups（P 〉 0.05）. At 12 months after operation,the effective rates of the observation group and the control groupwere 95.24%（60/63） and 82.98%（39/47）, respectively（P 〈 0.05）. The effective rate was 92.06%（58/63） and 72.34%（34/47） in the two groups at 36 months（P 〈 0.05）, and the difference was statistically significant. Conclusion The Low temperature plasma radiofrequency technologyin the treatment of adenoid hypertrophy is intuitive and clear,and its long-term effect is better than conventional adenoidectomy.