低温等离子切除扁桃体和高频电刀切除扁桃体治疗儿童鼾症的疗效分析对比

Comparison of the Therapeutic Effect of Low Temperature Plasma Ablation of Tonsils and High Frequency Electrosurgical Resection of Tonsils in the Treatment of Children with Snoring

目的 将低温等离子射频刀和高频电刀行扁桃体切除术医治少儿扁桃体发炎的效果进行比较,是为少儿扁桃体炎症疾病治疗寻找更优质的手术方法。方法 方便选取2017年6月-2018年6月1年时间段内医治过的慢性扁桃体炎患者工140例实施分析研究,并将这140例分成两个组,分别是观察组和对照组,每组70例,其中观察组应用低温等离子扁桃体切除术手术方式进行医治,对照组则采用另一种方式。对两种手术方式的出血多少、手术进行实践、手术完成以后的疼痛感进行对比。结果 观察组手术应用的时间为(20.0±5.0)min,对照组为(35.0±5.0)min,观察组时间少于对照组(t=11.400,P<0.05);术中出血量观察组为(5.0±2.0)mL,对照组为(15.0±5.0)m L,观察组少于对照组,差异有统计学意义(t=20.630,P<0.05)。对照组手术以后1 d之内,有4例患者出现发烧政治,适量使用抗生素以及糖皮质激素药剂,以前之内体温恢复到正常;手术完成后2 d时间失血达55~10 mL,6例,肾上腺素止血棉球压迫处理后止血4例,2例患者需要整体麻醉插管之后缝扎止血。观察组:手术完成以后24 h,有1例患者出血较少,自己进行止血;轻度发烧2例,不需要服用药物。术后并发症发生情况对比,观察组优于对照组,差异有统计学意义(χ^2=3.840,P<0.05)。结论 显示和高频电刀扁桃体切除术比较,低温等离子手术方法是最佳的手术方式,可选性更强。

Objective To compare the effects of low-temperature plasma radiofrequency ablation and high-frequency electrosurgical tonsillectomy for the treatment of children with tonsil inflammation,and to find a better surgical method for the treatment of children with tonsil inflammatory diseases.Methods A total of 140 patients with chronic tonsillitis who were treated in the period from June 2017 to June 2018 were selected for analysis.The 140 patients were divided into two groups,the observation group and the control group.The number of patients in the group was 70,of which the observation group was treated with low-temperature plasma tonsillectomy,and the control group was treated with another method.Compare the bleeding of the two surgical methods,the practice of the operation,and the pain after the operation is completed.Results The operation time of the observation group was(20.0±5.0)min,and the control group was(5.0±2.0)min.The observation group time was less than the control group(t=11.400,P<0.05).The intraoperative blood loss observation group was(5.0±2.0)mL,the control group was(15.0±5.0)mL,and the observation group was less than the control group,the ddifference was statistically significant(t=20.630,P<0.05).Within one day after the operation of the control group,four patients developed fever politics,moderate use of antibiotics and glucocorticoids,and the body temperature returned to normal in the past;blood loss reached 55~100 mL 2 days after the completion of surgery,6 people,adrenaline the hemostatic cotton ball was pressed and treated,stopped bleeding for 4 people.Two patients needed suture to stop bleeding after the overall anesthesia was intubated.Observation group:24 hours after the completion of the operation,1 patient had less bleeding and hemostasis was carried out by himself;2 patients had mild fever and did not need to take drugs.The incidence of postoperative complications was better than that of the control group,the ddifference was statistically significant(χ^2=3.840,P<0.05).Conclusion Compared with high-frequency electrosurgical tonsillectomy,low-temperature plasma surgery is the best surgical method and more optional.