学龄儿童低温等离子射频辅助扁桃体切除术的疗效分析

Analysis of Curative Effect of Low-temperature Plasma Radiofrequency Assisted Tonsillectomy in School-age Children

目的探究在对7~14岁学龄期儿童进行扁桃体切除手术时,选择低温等离子射频辅助方式的手术效果,及其临床可用性。方法将2017年9月-2019年5月作为研究时段,方便选取该时段内需要接受扁桃体切除的7~14岁学龄儿童68例作为实验样本。通过两组随机均分法记录为实验组与对照组,单组内设置34例实验样本。对照组患儿采用常规剥离法将扁桃体进行切除,实验组患儿则在全麻状态下应用等离子射频辅助切除方案,在治疗完成后对比两组患儿的各项手术指标,评价手术效果。结果所有患儿在手术完成后,扁桃体均得到切除,手术成功率为100%。而在实验结果中,实验组患儿的手术指标[手术时间(60.95±9.98)min、术中出血量(7.34±0.8)mL、切口大小(2.4±0.9)mm]均优于对照组[手术时间(95.98±7.68)min、术中出血量(19.33±0.6)mL、切口大小(6.5±1.3)mm],差异有统计学意义(t=11.562、69.913、15.120,P<0.05);而在结果中实验组患儿的术后指标(术后VAS评分、术后住院时间、术后住院费用)均优于对照组,数据对比差异有统计学意义(P<0.05)。结论在对学龄儿童进行扁桃体切除时,选择低温等离子射频辅助方案能够有助于缓解患儿的疼痛,缩短患儿的住院时间,同时这种手术辅助方案还能改善患儿的手术指标,对于患儿的病情康复有积极意义。

Objective To explore the effect of low-temperature plasma radiofrequency assisted operation when tonsillectomy is performed on school-age children aged 7 to 14 years,and to explore its clinical availability.Methods The period from September 2017 to May 2019 was used as the study period,and 68 school-age children aged 7 to 14 who needed to undergo tonsillectomy during this period were conveniently selected as experimental samples.The two groups were recorded as the experimental group and the control group by the method of random averaging,and 34 experimental samples were set in a single group.In the control group,the tonsils were removed by the conventional dissection method,and the children in the experimental group were treated with plasma radiofrequency assisted resection under general anesthesia.After the treatment was completed,the surgical indicators of the two groups were compared to evaluate the effect of the operation.Results The tonsils of all children were removed after the operation,and the success rate of one operation was 100%.In the experimental results,the surgical indicators[operation time(60.95±9.98)min,intraoperative blood loss(7.34±0.8)mL,incision size(2.4±0.9)mm]of the experimental group were better than those of the control group[operation time(95.98±7.68)min,intraoperative blood loss(19.33±0.6)mL,incision size(6.5±1.3)mm],the difference was statistically significant(t=11.562,69.913,15.120,P<0.05);and in the results of postoperative indicators(postoperative VAS score,postoperative hospital stay,postoperative hospital cost)of the patients in the group were better than those of the control group,and the data contrast was statistically significantly different(P<0.05).Conclusion When performing tonsillectomy on school-age children,choose low temperature Plasma radio frequency assisted program can help relieve the pain of patients and shorten the patient’s hospital stay.At the same time,this surgical assisted program can also improve the patient’s surgical indicators,which is of positive significance for the patient’s rehabilitation.