低温等离子腺样体消融术治疗儿童腺样体肥大伴分泌性中耳炎的效果

Effect of low-temperature plasma adenoid ablation in the treatment of adenoid hypertrophy with secretory otitis media in children

目的探讨低温等离子腺样体消融术治疗儿童腺样体肥大伴分泌性中耳炎的效果。方法选取2018年1月2021年1月江苏省宜兴市人民医院收治的76例腺样体肥大伴分泌性中耳炎患儿,按照随机数字表法将其分为研究组和对照组,每组38例。研究组采用低温等离子腺样体消融术治疗,对照组采用经鼻内窥镜下腺样体切除术治疗。比较两组临床疗效、手术时间、术中出血量、住院时间、耳鸣消失时间、鼓膜愈合时间、听力恢复时间、中耳存在积液时间。比较两组术前与术后6个月的儿童阻塞性睡眠呼吸暂停疾病特异性生活质量调查量-18(OSA-18)评分,记录两组并发症发生情况。结果研究组临床疗效优于对照组(P<0.05)。研究组手术、住院、耳鸣消失、鼓膜愈合、听力恢复、中耳存在积液时间均短于对照组,术中出血量低于对照组(P<0.05)。术后6个月,两组OSA-18评分均低于术前(P<0.05)。术前及术后6个月,两组OSA-18评分组间比较,差异无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论低温等离子腺样体消融术治疗儿童腺样体肥大伴分泌性中耳炎手术用时短,出血量少,术后恢复快,治疗效果显著,安全可靠。

Objective To explore the effect of low-temperature plasma adenoid ablation in the treatment of adenoid hypertrophy with secretory otitis media in children.Methods A total of 76 children with adenoid hypertrophy and secretory otitis media admitted to People’s Hospital of Yixing City of Jiangsu Province from January 2018 to January2021 were selected and divided into study group and control group according to random number table method,with 38cases in each group.The study group was treated with low-temperature plasma adenoid ablation,and the control group was treated with endoscopic adenoidectomy.The clinical efficacy,operation time,intraoperative blood loss,length of hospital stay,tinnitus disappearance time,eardrum healing time,hearing recovery time,and middle ear effusion time were compared between the two groups.The scores of disease specific quality of for children with obstructive sleep apnea 18 items survey(OSA-18)were compared between the two groups before and six months after operation,and the incidence of complications between the two groups was recorded.Results The clinical effect of the study group was better than that of the control group(P<0.05).The duration of operation,hospitalization,disappearance of tinnitus,healing of tympanic membrane,hearing recovery,and middle ear effusion in the study group were shorter than those in the control group,and the amount of intraoperative blood loss was lower than that in the control group(P<0.05).Six months after operation,OSA-18 scores in both groups were lower than those before operation(P<0.05).Before and six months after operation,there was no significant difference in OSA-18 scores between the two groups(P>0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Low-temperature plasma adenoid ablation for the treatment of children with adenoid hypertrophy with secretory otitis media takes a short time,less bleeding,and quick recovery after operation,its therapeutic effect is remarkable,and it is safe and reliable.