低温等离子扁桃体部分切除术与全切术治疗小儿OSAHS的对照研究

A Comparative Study of Low Temperature Plasma Tonsillectomy and Total Resection for OSAHS in Children

目的:对照研究低温等离子扁桃体部分切除术和全切术治疗小儿阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法:将2019年2月~2020年2月在本院耳鼻咽喉头颈外科接受单纯扁桃体手术治疗的104例OSAHS患儿纳入研究中,基于乱数表法分成观察组和对照组,各52例对照组行低温等离子全切术,观察组行低温等离子部分切除术,对比分析两组疗效。结果:观察组手术时间、术中出血量、术后1d疼痛度及住院时间均显著低于对照组(P<0.05)。通过监测,两组患儿术后睡眠中AHI、最低SaO2均有改善,但组间无明显差异(P>0.05)。观察组术后并发症发生率低于对照组(P<0.05)。结论:对小儿OSAHS采用低温等离子扁桃体部分切除术和全切术的疗效基本一致,可有效改善症状,但前者创伤更小,术后恢复快,并发症少,可作为小儿OSAHS的首选治疗方式之一。

Objective:To compare the effects of low temperature plasma tonsillectomy and total tonsillectomy on obstructive sleep apnea hypopnea syndrome(OSAHS)in children.Methods:104 children with OSAHS who received tonsillectomy in the otorhinolaryngology head and neck surgery department of our hospital from February 2019 to February 2020 were included in the study.Based on the random number table method,they were divided into study group and control group.52 patients in each control group received total low-temperature plasma resection,and the study group received partial low-temperature plasma resection.Results:The operation time,intraoperative blood loss,pain degree and hospital stay time of the study group were significantly lower than those of the control group(P<0.05).Through monitoring,the postoperative sleep of the two groups was improved by AHI and lowest SaO2,but there was no significant difference between the two groups(P>0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).Conclusion:The efficacy of low-temperature plasma tonsillectomy and total tonsillectomy for children WITH OSAHS is basically the same,which can effectively improve symptoms.However,the former has less trauma,faster postoperative recovery and fewer complications,so it can be used as one of preferred methods.