鼻内镜下腺样体切除术与常规腺样体刮除术的疗效比较

Comparison of endoscopic adenoidectomy and conventional adenoidectomy

目的比较鼻内镜下腺样体切除术与常规腺样体刮除术的疗效差异。方法选择2016年1月～2017年10月于本院进行手术治疗的80例腺样体肥大患儿,按随机数字法分为内镜组和常规组,各40例,内镜组在鼻内镜下腺样体切除术,常规组予常规腺样体刮除术,对比观察两组患儿手术时间、术中出血量、住院时间以及术后1个月、6个月、12个月的治疗有效率及复发率。结果在手术时间、术中出血量及住院时间方面,内镜组明显优于比常规组,差异有统计学意义(P<0.05)。经手术治疗1个月后两组患儿治疗有效率比较差异无统计学意义(P=0.104 8);术后6个月及12个月,内镜组患儿治疗有效率分别为95.0%、92.5%,均显著高于常规组患儿治疗有效率分别为82.5%、77.5%,差异有统计学意义(P<0.05)。术后12个月内镜组无复发病例,而常规组有4例患儿病情复发,其复发率为10.0%,差异有统计学意义(X^2=10.53,P=0.0012)。结论采用鼻内镜下腺样体切除术能减少术中出血量、缩短手术及住院时间,提高治疗有效率,减少疾病复发率,应在临床中广泛应用。

Objective To compare the efficacy of endoscopic adenoidectomy and conventional adenoidectomy.Methods From January 2016 to October 2017,80 children with adenoidal hypertrophy underwent surgical treatment in our hospital were randomly divided into endoscopic group and routine group,40 cases in each group.Endoscopic adenoidectomy was performed in the endoscopic group and conventional adenoidectomy was performed in the conventional group.The operative time,intraoperative bleeding volume,hospital stay,effective rate and recurrence rate of the two groups were compared.Results In terms of operation time,intraoperative bleeding volume and hospitalization time,the endoscopic group was significantly superior to the conventional group,the difference was statistically significant(P<0.05).There was no significant difference in the effective rate between the two groups one month after operation(P=0.104 8);the effective rate of Endoscopy Group was 95.0%and 92.5%respectively at 6 months and 12 months after operation,which was significantly higher than that of routine group(82.5%and 77.5%,P<0.05).There was no recurrence in the Endoscopy Group within 12 months after operation,but there were 4 cases in the routine group.The recurrence rate was 10.0%.The difference was statistically significant(c2=10.53,P=0.0012).Conclusion Endoscopic adenoidectomy can reduce the amount of bleeding,shorten the operation and hospital stay,improve the treatment efficiency,reduce the recurrence rate of disease,it should be widely used in clinical.