摘要
目的探讨不同术式治疗腺样体肥大的临床效果及安全性。方法选取腺样体肥大患儿100例,随机分为观察组与对照组,每组50例。对照组患儿接受传统鼻内镜下电动切割器切除术治疗,观察组患儿接受低温等离子消融术治疗。比较两组患儿手术情况、术后恢复情况、术后并发症发生情况。结果观察组患儿的手术时间(21.3±0.2)min以及腺样体切除时间(10.2±2.5)min较对照组患儿的(31.9±0.4)、(13.9±1.4)min更短,术中出血量(12.25±2.24)ml比对照组患儿的(33.24±3.54)ml少,差异有统计学意义(P<0.05)。治疗后,观察组患儿的治疗总有效率为94.00%,对照组患儿的治疗总有效率为80.00%,观察组患儿治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患儿的并发症发生率为2.00%,低于对照组的14.00%,差异有统计学意义(P<0.05)。结论与传统鼻内镜下电动切割器切除术相比,低温等离子消融术不仅可以缩短腺样体肥大患儿的手术时间,减少术中出血量,还有利于患儿术后的恢复,治疗效果确切,且并发症风险低,具有可靠的安全性,值得推广应用。
Objective To explore the clinical effect and safety of different surgical methods for adenoid hypertrophy.Methods 100 children with adenoid hypertrophy were randomly divided into an observation group and a control group,with 50 cases in each group.The control group was treated with traditional electric resection under nasal endoscopy,and the observation group was treated with low-temperature plasma ablation.The surgical situation,postoperative recovery,and postoperative complications were compared between the two groups of children.Results The surgical time of the observation group was(21.3±0.2)min and the adenoidectomy time was(10.2±2.5)min,which were shorter than(31.9±0.4)and(13.9±1.4)min of the control group;the intraoperative blood loss of the observation group was(12.25±2.24)ml,which was less than(33.24±3.54)ml of the control group;the difference was statistically significant(P<0.05).After treatment,the total effective rate was 94.00%in the observation group and 80.00%in the control group;the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the complication rate in the observation group was 2.00%,which was lower than 14.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with traditional electric resection under nasal endoscopy,low-temperature plasma ablation can not only shorten surgical time,reduce intraoperative bleeding,but also facilitate postoperative recovery of children with adenoid hypertrophy.The treatment effect is accurate,and the risk of complications is low.It has reliable safety and is worth promoting and applying.
作者
吴海导
WU Hai-dao(Otolaryngology Department,Yunfu People's Hospital,Yunfu 527300,China)
出处
《中国现代药物应用》
2024年第14期51-53,共3页
Chinese Journal of Modern Drug Application
关键词
腺样体肥大
鼻内镜
低温等离子消融术
安全性
治疗效果
Adenoid hypertrophy
Nasal endoscope
Low-temperature plasma ablation
Safety
Therapeutic effect