RFA对扁桃体、腺样体肥大患儿鼻声反射及IgM、IgG的影响

Effect of RFA on Nasal Sound Reflex and IgM IgG in Children with Tonsil and Adenoid Hypertrophy

目的分析RFA对扁桃体、腺样体肥大患儿鼻声反射及免疫球蛋白M(IgM)、免疫球蛋白G(IgG)的影响。方法回顾性分析2018年8月至2019年8月收治的扁桃体、腺样体肥大患儿60例为研究对象,根据手术方案分为对照组与观察组各30例。对照组实施传统扁桃体、腺样体切除术;观察组实施低温等离子射频消融术。对2组患儿的手术指标、治疗前后鼻腔情况、术后免疫功能进行评价。结果观察组的手术时间、腺体切除时间均短于对照组、术中出血量少于对照组(P<0.05);观察组治疗后的鼻腔容积(NCV)、鼻腔最小横截面积(NMCA)及其与前鼻孔之间距离(DCAN)均优于对照组(P<0.05);治疗后2组IgM、IgG均较治疗前降低,观察组高于对照组(P<0.05)。结论RFA治疗扁桃体、腺样体肥大效果显著,可显著改善患儿鼻腔情况,提高手术安全性。

Objective Analysis of the effect of RFA on nasal sound reflex and IgM,IgG in children with tonsil and adenoid hypertrophy.Methods A retrospective analysis of 60 children with tonsil and adenoidal hypertrophy treated from August 2018 to August 2019 was taken as the research object.They were divided into control group and observation group according to the surgical plan.The group performed low-temperature plasma radiofrequency ablation.The surgical indicators,nasal conditions before and after treatment,and postoperative immune function were evaluated in the two groups.Results The operation time and glandectomy time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group(P<0.05).The distance(DCAN)from the anterior nostril was better than that of the control group(P<0.05);After treatment,IgM and IgG were lower in both groups than before treatment,and the observation group was higher than the control group(P<0.05).Conclusion RFA has a significant effect on tonsil and adenoid hypertrophy,which can significantly improve the nasal condition of children and improve the safety of surgery.