低温等离子射频消融治疗儿童OSAHS腺样体残留的影响

On the Efficacy of Cryogenic Plasma Radiofrequency Ablation of Adenoid Residue in Children with OSAHS

采用低温等离子射频消融术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS),观察腺样体组织残留是否影响手术疗效。莆田学院附属医院2019年2月—2021年8月收治118例OSAHS患儿,在扁桃体切除后,随机分成完全消融腺样体组(对照组)与部分消融腺样体组(观察组),观察两组并发症发生情况及疗效。两组的手术时间、术中出血量及疼痛程度差异有统计学意义(P<0.05);术后3个月随访、术后6个月的临床疗效差异无统计学意义(P>0.05);同组术前与术后的睡眠质量差异有统计学意义(P<0.05)。结果表明,低温等离子射频消融腺样体组织可以采用部分消融的方式,只消融增生的腺样体组织,既省时,又减少术中出血、减轻术后疼痛,残留的少量腺样体组织不影响术后疗效。

This paper discusses whether the residual adenoid tissue affects the efficacy of radiofrequency ablation therapy to melt the adenoid tissue in the treatment of OSAHS in children.From February 2019 to August 2021,118 cases of children with OSAHS were treated in our hospital.After the tonsillectomy, they were randomly divided into the control group with all adenoids being melted(56 cases) and the observation group with partial ablation of adenoids(62 cases).We observed the complications and clinical efficacy in the two groups.There are statistical differences in operation time, intraoperative bleeding and postoperative pain(P<0.05) and there is no significant difference in the efficacy 3 months and 6 months operation after the operation(P>0.05) between the two groups.However, there are statistically significant differences in their preoperative and postoperative clinical efficacy analysis in each group(P<0.05).Cryogenic plasma radiofrequency ablation of adenoid tissue has a significant advantage in treating OSAHS in children.The results show that partial ablation of hyperplasia adenoid tissue during operation helps to save operation time, reduce intraoperative bleeding and relieve postoperative pain and that a small amount of residual adenoid tissue does not affect the efficacy.