Effectiveness and Safety Evaluation of Adenoid Tonsillectomy Using Radiofrequency Ablation under Endoscopic Guidance with Low-temperature Plasma in Children with Snoring and Adenoid Hypertrophy
Objective:To investigate the efficacy and safety of adenoidectomy using low-temperature plasma radiofrequency ablation under endoscopic guidance in children with obstructive sleep apnea syndrome(OSAS)complicated by adenoid hypertrophy.Methods:Ninety children with OSAS and adenoid hypertrophy treated at our hospital from November 2021 to November 2023 were randomly divided into a study group and a control group(45 cases each).The control group received conventional adenoidectomy,while the study group underwent adenoidectomy using low-temperature plasma radiofrequency ablation under nasal endoscopy.Clini-cal outcomes were compared between the two groups.Results:The overall effective rate in the study group(88.89%)was significantly higher than in the control group(71.11%),with statistical significance(P<0.05).By postoperative day 3,the study group showed higher forced expiratory volume in 1 second(FEV1)and forced vital capacity(FVC),lower levels of adrenaline(E),β-endorphin(β-EP),and cortisol(Cor),lower visual analog scale(VAS)pain scores,and lower apnea-hypopnea index(AHI)compared to the control group.The complication rate in the study group(4.44%)was significantly lower than in the control group(17.78%),with shorter surgery duration and less intraoperative blood loss,all differences being statisti-cally significant(P<0.05 or P<.01).Conclusion:Low-temperature plasma radiofrequency ablation of the adenoids under nasal endoscopy improves ventilation function and sleep breathing quality in children with OSAS and adenoid hypertrophy,alleviates postoperative pain and stress response,enhances perioperative indicators,and reduces the risk of complications,demonstrating high practicality of the surgical approach.
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维普
