低温等离子扁桃体消融切除术联合腺样体消融术治疗鼾症患儿的效果

Effects of low temperature plasma tonsillectomy combined with adenoid ablation in treatment of children with snoring

目的:观察低温等离子扁桃体消融切除术联合腺样体消融术治疗鼾症患儿的效果。方法:选取2020年6月至2023年6月该院收治的86例鼾症患儿进行前瞻性研究,按随机数字表法将其分为对照组与研究组各43例。对照组采用扁桃体剥离术联合腺样体切除术治疗,研究组采用低温等离子扁桃体消融切除术联合腺样体消融术治疗。比较两组手术相关指标水平,临床疗效,手术前后通气功能指标[氧减指数(ODI)、呼吸紊乱指数(AHI)、最低夜间血氧饱和度(LSaO_(2))]水平、睡眠质量[儿童睡眠习惯问卷(CSHQ)]评分,以及并发症发生率。结果:研究组术中出血量少于对照组,手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05);研究组治疗总有效率为95.35%(41/43),高于对照组的81.40%(35/43),差异有统计学意义(P<0.05);术后1个月,两组ODI、AHI水平均低于术前,且研究组低于对照组,两组LSaO_(2)水平均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05);术后1个月,两组就寝习惯、睡眠行为、夜醒、晨起、白天嗜睡等CSHQ评分均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:低温等离子扁桃体消融切除术联合腺样体消融术治疗鼾症患儿可提高治疗总有效率,改善通气功能指标水平和睡眠质量评分,降低手术相关指标水平和并发症发生率,其效果优于扁桃体剥离术联合腺样体切除术治疗。

Objective:To observe effects of low temperature plasma tonsillectomy combined with adenoid ablation in treatment of children with snoring.Methods:A prospective study was conducted on 86 children with snoring admitted to this hospital from June 2020 to June 2023.According to the random number table method,they were divided into control group and study group,43 cases in each group.The control group was treated with tonsillectomy combined with adenoidectomy,while the study group was treated with low temperature plasma tonsillectomy combined with adenoid ablation.The levels of operation-related indexes,the clinical efficacy,the preoperative and postoperative ventilation function indexes[oxygen desaturation index(ODI),apnea hypopnea index(AHI),lowest nocturnal oxygen saturation(LSaO_(2))]levels and the sleep quality[children’s sleep habits questionnaire(CSHQ)]score before and after the surgery,and the incidence of complications were compared between the two groups.Results:The amount of bleeding in the study group was less than that in the control group,the operation time and the hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group was 95.35%(41/43),which was higher than 81.40%(35/43)in the control group,and the difference was statistically significant(P<0.05).1 month after the surgery,the levels of ODI and AHI in the two groups were lower than those before the surgery,and those in the study group were lower than those in the control group;the levels of LSaO_(2) in the two groups were higher than those before the surgery,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).1 month after the surgery,the CSHQ scores of bedtime habits,sleep behavior,night waking,morning rising and daytime sleepiness in the two groups were lower than those before the surgery,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Low temperature plasma tonsil ablation combined with adenoid ablation in the treatment of the children with snoring can improve the total effective rate of treatment,improve the levels of ventilation function indexes and sleep quality scores,and reduce the levels of surgery-related indexes and the incidence of complications.Moreover,it is superior to tonsillectomy combined with adenoidectomy.