低温等离子技术治疗腺样体肥大疗效及安全性分析

Clinical efficacy and safety analysis of low temperature plasma tech in the treatment of adenoidectomy

目的探讨低温等离子技术治疗腺样体肥大的临床疗效及安全性。方法本研究选取我院2017年8月~2020年1月收治的79例腺样体肥大患者为研究对象,依据手术方式不同,将腺样体刮匙切除术患者33例作为传统术式组,内窥镜下腺样体低温等离子消融术46例患者作为低温等离子消融术组。分别比较两组患者的手术时间、术中出血量、住院时间,术后1 d、3 d及7 d的视觉疼痛模拟评分(VAS)、总有效率及术后并发症发生情况。结果等离子组手术时间为(22.71±7.30)min,住院时间为(5.52±1.16)d,均较传统手术组时间短,差异有统计学意义(P<0.05);术中出血量为(2.31±0.47)mL,较传统手术组少(P<0.05);术后1 d、3 d及7 d VAS均较传统手术组低,成组比较差异有统计学意义,采用重复测量方差分析知,组间差异有统计学意义(P<0.001);两组总有效率分别为93.48%和78.79%,差异有统计学意义(P<0.05)。术后各类型并发症两组间比较差异无统计学意义(P>0.05)。结论低温等离子技术临床疗效优于传统手术组,可在短期内缓解疼痛,减少术中出血量,缩短住院时间,促进患者的康复。

Objective To evaluate the clinical efficacy and safety of low temperature plasma tech in the treatment of adenoidectomy.Method In this study,79 patients with adenoid hypertrophy admitted to our hospital from August 2017 to January 2020 were selected as subjects.The patients were divided into two groups,the experimental group(46 cases with endoscopic adenoid low temperature plasma ablation)and the control group(33 cases with adenoid curet excision)according to the different surgical methods.The operation time,intraoperative blood loss,hospitalization time,visual analogue pain scale(VAS)scores on the first day,3-day,7-day after operation,over response rate(ORR)and the incidence of postoperative complications were compared between the two groups.Results In the patients with chronic adenoidectomy,the operation time(22.71±7.30 min)and hospital stays(5.52±1.16 d)of the plasma group were shorter than the traditional group(P<0.05);intraoperative blood loss(2.31±0.47 mL)was less than traditional group(P<0.05);VAS scores in plasma group were smaller than those in traditional group on 1-day,3-day and 7-day,respectively(P all<0.05 for independent samplet test method),repeated measurement variance analysis showed that between the two groups the comparison was:F=90.942,P<0.01,indicating that the VAS scores of the two groups had statistical significance.The ORRs of the two groups were 93.48%and 78.79%,respectively,P<0.05.There was no statistical significance of different adverse events between the two groups,P>0.05.Conclusion The clinical effect of low temperature plasma tech is significantly better than that of traditional method,it can relieve pain in a short time,reduce intraoperative blood loss,shorten hospital stays and promote the rehabilitation of patients.