低温等离子消融腺样体切除联合扁桃体部分切除治疗儿童阻塞性睡眠呼吸暂停低通气综合征的临床效果

Clinical effect of low temperature plasma ablation adenoidectomy combined with partial tonsillectomy in the treatment of obstructive sleep apnea-hypopnea syndrome in children

目的探讨低温等离子消融腺样体切除联合扁桃体部分切除治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床效果。方法选取2019年8月至2022年12月南通市妇幼保健院收治的84例OSAHS患儿,按照不同治疗方法分为对照组(43例)和观察组(41例)。对照组予以传统腺样体扁桃体切除治疗,观察组予以低温等离子消融腺样体切除联合扁桃体部分切除治疗。比较两组手术相关指标、通气功能指标及治疗效果。结果观察组手术时间短于对照组,术中出血量少于对照组(P<0.05)。术后7 d,观察组各通气功能指标均优于对照组(P<0.05)。观察组治疗效果优于对照组(P<0.05)。结论低温等离子消融腺样体切除联合扁桃体部分切除治疗儿童OSAHS的临床效果确切,可缩短手术时间,减少术中出血量,有效改善通气功能。

Objective To investigate the clinical effect of low temperature plasma ablation adenoidectomy combined with partial tonsillectomy in the treatment of obstructive sleep apnea-hypopnea syndrome(OSAHS)in children.Methods A total of 84 children with OSAHS admitted to Nantong Maternal and Child Health Hospital from August 2019 to December 2022 were s elected and divided into the control group(43 cas es)and the obs ervation group(41 cas es)according to different treatment methods.The control group was treated with traditional adenotonsillectomy,and the observation group was treated with low temperature plasma ablation adenoidectomy combined with partial tonsillectomy.The indexes of operation,ventilation function and therapeutic effect were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,and the amount of blood loss during operation of the observation group was less than that of the control group(P<0.05).At 7 days after operation,the indexes of ventilation function in the observation group were better than those in the control group(P<0.05).The treatment effect of the observation group was better than that of the control group(P<0.05).Conclusion Low temperature plasma ablation adenoidectomy combined with partial tonsillectomy in the treatment of OSAHS in children has definite clinical effect,which can shorten operation time,reduce amount of blood loss during operation and effectively improve ventilation function.