期刊文献+

分析等离子低温射频腺样体切除术临床疗效

To Analyze the Clinical Effect of Plasma Hypothermia Radiofrequency Adenoidectomy
下载PDF
导出
摘要 目的探讨对腺样体肥大患儿选择等离子低温射频腺样体切除术治疗后获得的临床效果。方法方便选择该院2017年3月-2019年4月收治的122例腺样体肥大患儿作为实验对象;数字奇偶法分组后探究每组治疗方法;比照组(61例):选择传统腺样体刮除术展开疾病治疗;实验组(61例):选择等离子低温射频腺样体切除术展开疾病治疗;最终就疾病治愈率、患儿失血量、手术时长以及术后疼痛时长展开对比。结果实验组腺样体肥大患儿疾病治愈率(98.36%)高于比照组(75.41%)明显,差异有统计学意义(χ~2=14.099,P<0.05);实验组失血量为(2.12±0.25)mL,手术时长为(9.92±2.52)min,术后疼痛时长为(17.25±2.99)h;比照组失血量为(15.49±3.55)mL,手术时长为(9.49±2.33)min,术后疼痛时长为(63.59±10.21)h;实验组腺样体肥大患儿失血量少于比照组明显,差异有统计学意义(t=29.342,P<0.05);手术时长同比照组比较,差异无统计学意义(t=0.978,P>0.05);术后疼痛时长短于比照组明显,差异有统计学意义(t=34.019,P<0.05)。结论腺样体肥大患儿于临床接受等离子低温射频腺样体切除术治疗后,利于患儿疾病治愈率提升,失血量减少以及术后疼痛时长缩短,最终对于腺样体肥大患儿康复进程的缩短,奠定基础。 Objective To investigate the clinical effect of plasma hypothermia radiofrequency adenoidectomy in children with adenoidal hypertrophy. Methods 122 children convenient selection with adenoidal hypertrophy admitted to our hospital from March 2017 to April 2019 were selected as experimental subjects;the treatment methods of each group were explored after dividing the number parity method into groups;the control group(61 cases): traditional adenoidectomy was selected for disease treatment;the experimental group(61 cases): plasma cryogenic radiofrequency adenoidectomy was selected for disease treatment;and finally the cure rate and patients were discussed. The amount of blood loss, the length of operation and the length of pain after operation were compared. Results The cure rate of children with adenoidal hypertrophy in the experimental group(98.36%) was significantly higher than that in the control group(75.41%),the difference was statistically significant(χ~2=14.099,P<0.05);the blood loss in the experimental group was(2.12±0.25) mL, and the duration of surgery was(9.92±2.52) min, the postoperative pain duration was(17.25±2.99) h;the blood loss in the control group was(15.49±3.55) mL, the operation duration was(9.49±2.33)min, and the postoperative pain duration was(63.59±10.21) h;The blood loss of children with adenoidal hypertrophy in the experimental group was less than that in the control group,the difference was statistically significant(t=29.342,P<0.05,);the length of surgery was not significantly different compared with the control group,the difference was not statistically significant(t=0.978,P>0.05);the length of postoperative pain It was shorter than the control group,the difference was statistically significant(t=34.019,P<0.05,). Conclusion Adenoid hypertrophy in children after clinical treatment of plasma low temperature radiofrequency adenoidectomy is conducive to the improvement of the cure rate of disease, the reduction of blood loss and the shortening of pain after surgery, and ultimately lays the foundation for the shortening of the rehabilitation process of children with adenoid hypertrophy.
作者 高正文 郭文淑 GAO Zheng-wen;GUO Wen-shu(Department of Otolaryngology,First People's Hospital of Zhaotong City,Zhaotong,Yunnan Province,657000 China)
出处 《中外医疗》 2020年第3期46-48,共3页 China & Foreign Medical Treatment
关键词 等离子低温射频腺样体切除术 传统腺样体刮除术 腺样体肥大 临床效果 Plasma hypothermia radiofrequency adenoidectomy Traditional adenoidectomy Adenoid hypertrophy Clinical effect
  • 相关文献

二级参考文献42

  • 1韩德民.睡眠呼吸障碍疾病外科治疗的思考——论结构和功能与症状的相关性[J].中华耳鼻咽喉头颈外科杂志,2007,42(2):81-82. 被引量:19
  • 2Powell N B, Riley R W, Guilleminauh C. Radiofrequency tongue base reduction in sleep-disordered breathing: A pliot study[J]. Otolaryngol Head Neck Surg, 1999, 120(7):656- 664.
  • 3Stuck B A, Maurer J T, Verse T, et al. Tongue base reduction with temperature-controlled radiofrequency volumetric tissue reduction for treatmen of obstructive sleep apnea syndrome [ J ]. Acta Otolaryngol, 2002, 122(6) :531-536.
  • 4Friedman M, Tanyeri H, La Rosa M, et al. Clinical predictors of obstructive sleep apnea[J]. Laryngoscope, 1999, 109: 1901-1907.
  • 5Riley R W, Powell N B, Li K K, et al. Surgery and obstructive sleep apnea: Long team clinical outcome[J]. Otolaryngol Head Neck Surgy, 2000, 122:415-421.
  • 6Constantin IF,Salamanca F, Amaina TA, et al. Videoendoscop- ic adenoidectomy with micordebrider[J]. Acta Otorhinolaryn- gol hal, 2008,28 : 26.
  • 7Nunez Da, Provan J, Crawford M. Postoperative tonsillectomy pain in pediatric patients: electrocautery(hot) vs. cold dissec- tion and snare tonsillectomy-a randomized trial[J]. Arch Oto- laryngol Head Neck Surg, 2009,126 : 837.
  • 8Dirienzo Businco L. Paediatric tonsillectomy : radiofrequnecy- based plasma dissection compared to cold dissection with su- tures[J]. Acta Otorhinolaryngol Ital, 2008,28 : 67.
  • 9Javed F, Sadri M, Uddin J, et al. A completed audit cycle on post-tonsillectomy haemorrhage rate., coblation versus stand- ard tonsillectomy[J]. Acta Oto laryngol, 2007,127 : 300.
  • 10Sadikoglu F,Kurtaran H, Ark N, et al. Comparing the effec- tiveness of"plasma knife"tonsillectomy with two well -estab- lished tonsillectomy techniques: cold dissection and bipolar e- lectrocautery, a prospective randomized study[J]. Int J of Ped Otorhinol, 2009,73 : 1 195.

共引文献53

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部