扁桃体摘除、内镜下腺样体切除治疗小儿鼾症

Treatment of Pediatric Hysteria With Tonsillectomy and Endoscopic Adenoidectomy

目的探讨扁桃体摘除联合鼻内镜下腺样体切除对小儿鼾症的治疗作用。方法选择45例2014年3月—2018年3月小儿鼾症患儿,据术式分组。对照组开展扁桃体摘除联合腺样体刮除手术治疗,观察组行扁桃体摘除联合鼻内镜下腺样体切除治疗。比较两组治疗效果。结果观察组小儿鼾症手术治疗总有效率95.65%(22例)高于对照组68.18%(15例),χ2=5.805,P <0.05;手术后观察组生活质量SF-36量表分数(95.84±2.11)分优于对照组(80.13±2.21)分,t=9.033,P <0.05;观察组手术实施的时间、平均住院天数分别为(55.02±2.12)min、(5.21±1.25)d,优于对照组,t=8.219、5.720,P<0.05;观察组出血等并发症率8.70%(2例)低于对照组36.36%(8例),χ2=4.980,P <0.05。结论小儿鼾症患儿行扁桃体摘除联合鼻内镜下腺样体切除疗效非常理想,有效改善病情,减少并发症和改善生活质量,缩短手术和住院时间。

Objective To investigate the therapeutic effect of tonsillectomy combined with endoscopic adenoidectomy on infantile spasm.Methods Forty-five patients with pediatric snoring from March 2014 to March 2018 were selected according to the procedure.In the control group,tonsillectomy combined with adenoidectomy was performed.The observation group was underwent tonsillectomy combined with endoscopic adenoidectomy.The results were compared.Results The total effective rate of surgical treatment of pediatric sputum in the observation group was 95.65%(22 cases)higher than 68.18%(15 cases)of the control group,χ2=5.805,P<0.05.The postoperative quality of life observation SF-36 score was(95.84±2.11),which was better than(80.13±2.21)of the control group,t=9.033,P<0.05.The operation time and average hospitalization days of the observation group were(55.02±2.12)min,(5.21±1.25)d,which were better than the control group,t=8.219,5.720,P<0.05.The complication rate of bleeding in the observation group was 8.70%(2 cases),lower than 36.36%(8 cases)in the control group was,χ2=4.980,P<0.05.Conclusion The treatment of tonsillectomy combined with endoscopic adenoidectomy in children with snoring is very effective,which can improve the condition,reduce complications and improve quality of life,and shorten the time of surgery and hospitalization.