發(fā)布時(shí)間：2018-06-16 06:32

  本文選題：鼻內(nèi)鏡 + 低溫等離子消融術(shù)　； 參考：《中國(guó)中西醫(yī)結(jié)合耳鼻咽喉科雜志》2016年06期

【摘要】：目的探討兒童腺樣體肥大(AH)在鼻內(nèi)鏡下應(yīng)用低溫等離子消融術(shù)(TCRF)與動(dòng)力切割術(shù)治療的臨床效果。方法選取我院2012年6月~2015年6月收治的138例AH患兒,按隨機(jī)數(shù)字表法等分為兩組。在鼻內(nèi)鏡下,對(duì)照組采用動(dòng)力切割術(shù),觀察組行TCRF。記錄比較兩組術(shù)中出血量與手術(shù)時(shí)間,手術(shù)前后阻塞性睡眠呼吸暫停-18量表(OSA-18)評(píng)分,術(shù)后6個(gè)月時(shí)臨床療效,術(shù)后并發(fā)癥及隨訪1年期間復(fù)發(fā)情況。結(jié)果觀察組術(shù)中出血量顯著少于對(duì)照組(P0.01),兩組手術(shù)時(shí)間比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);兩組術(shù)后6個(gè)月時(shí)OSA-18評(píng)分與術(shù)前比較,均顯著降低(P0.01),但觀察組OSA-18評(píng)分與對(duì)照組同期相比,差異無統(tǒng)計(jì)學(xué)意義(P0.05);觀察組總有效率為100.00%與對(duì)照組98.55%比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);兩組術(shù)后并發(fā)癥發(fā)生率、隨訪復(fù)發(fā)率相比,差異也均無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論兒童AH在鼻內(nèi)鏡下應(yīng)用TCRF治療效果顯著,且更有助于減少術(shù)中出血,降低手術(shù)對(duì)患兒機(jī)體的影響,同時(shí)在減少術(shù)后并發(fā)癥和控制復(fù)發(fā)方面也略有優(yōu)勢(shì),具有較高臨床參考價(jià)值。
[Abstract]:Objective to investigate the clinical effect of low temperature plasma ablation (TCRF) and dynamic cutting for adenoid hypertrophy (AH) in children. Methods 138 patients with AH from June 2012 to June 2015 were randomly divided into two groups. Under nasal endoscopy, the control group was treated with dynamic cutting, and the observation group with TCRF. The volume of blood loss, the time of operation, the score of OSA-18 before and after operation, the clinical effect at 6 months after operation, the postoperative complications and the recurrence during the follow-up of one year were recorded and compared between the two groups. Results the amount of intraoperative bleeding in the observation group was significantly lower than that in the control group (P 0.01), and there was no significant difference in the operation time between the two groups, and the OSA-18 score in the two groups decreased significantly at 6 months after operation compared with the preoperative score, but the OSA-18 score in the observation group was significantly lower than that in the control group at 6 months after operation, but the OSA-18 score in the observation group was significantly lower than that in the control group. The total effective rate of the observation group was 100.00% compared with that of the control group (98.55%), the difference was not statistically significant (P 0.05). The incidence of postoperative complications and the recurrence rate of follow-up were not significantly different between the two groups. Conclusion the effect of TCRF on children with AH under nasal endoscope is remarkable, and it is more helpful to reduce intraoperative bleeding and reduce the influence of operation on the body of children. It also has some advantages in reducing postoperative complications and controlling recurrence. It has high clinical reference value.
【作者單位】： 四川省威遠(yuǎn)縣人民醫(yī)院耳鼻咽喉科;四川省內(nèi)江市第一人民醫(yī)院耳鼻咽喉科;
【分類號(hào)】：R766.9

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