低龄儿童腺样体切除临床观察

Clinical observation of adenoidectomy in young children

目的探讨4岁以下低龄儿童是否适宜行腺样体切除术。方法135例行腺样体切除术的患儿,按年龄分为A组(65例)、B组(70例)。两组患儿均采用经鼻内镜下经口电动切削器切除腺样体治疗。对比两组患儿临床疗效、手术时间、出血量、并发症。结果A组患儿总有效率、手术时间、并发症发生率分别为100.00%、(8.7±1.6)min、1.54%,与B组的100.00%、(8.8±1.7)min、1.43%对比,差异均无统计学意义(P>0.05)。A组患儿出血量为(8.5±1.1)ml显著少于B组的(12.5±1.5)ml,差异具有统计学意义(P<0.05)。结论可适当放宽腺样体切除的年龄手术适应证,而基层医院及经济欠发达地区仍可采用鼻内镜下腺样体吸切术,此方法治疗低龄儿童腺样体肥大亦安全有效。

Objective To investigate the suitability of adenoidectomy for children under 4 years old.Methods A total of 135 children undergoing adenoidectomy were divided into group A(65 cases)and group B(70 cases)by age.In both groups,adenoids were removed by an oral electric cutter under nasal endoscopy.The clinical efficacy,operation time,blood loss and occurrence of complications were compared between the two groups.Results The total effective rate,operation time and incidence of complications of group A were 100.00%,(8.7±1.6)min and 1.43%,which were 100.00%,(8.8±1.7)min and 1.54%of group B,and the difference was statistically significant(P>0.05).The blood loss of group A was(8.5±1.1)ml,which was significantly less than(12.5±1.5)ml of group B,and the difference was statistically significant(P<0.05).Conclusion The indications of age for adenoid resection can be appropriately relaxed,and endoscopic adenoidectomy can still be used in primary hospitals and economically underdeveloped areas.This method is also safe and effective for treating young children with adenoid hypertrophy.