儿童腺样体扁桃体切除后圆枕增生26例
Twenty-six cases of tubal torus hyperplasia after adenoid tonsillectomy in children
赵云 1滕支盼 2李琦 2沈小飞2
作者信息
- 1. 南京医科大学附属儿童医院 社会服务处,江苏 南京 210008
- 2. 南京医科大学附属儿童医院 耳鼻咽喉科,江苏 南京 210008
- 折叠
摘要
目的 探讨儿童接受腺样体伴/不伴扁桃体手术治疗后圆枕增生的临床现象及特征.方法 回顾分析26 例圆枕增生患儿的临床资料(年龄、性别、首次手术时间、手术方式以及是否伴有变应性鼻炎方面).结果 26 例患儿接受腺样体和/或扁桃体手术治疗后出现再次鼻塞打鼾症状,经鼻内窥镜检查确诊为圆枕增生.其中男 20 例、女 6 例;92.3%患儿首次行腺样体伴/不伴扁桃体手术治疗年龄为 5 岁前;术后确诊为圆枕增生时间间隔为 3～45 个月;其中 8 例患儿接受了圆枕部分切除手术,2次手术时间间隔为 3～48 个月.10 例患儿有明确的变应性鼻炎症状及体征;接受腺样体切除及保留(部分)扁桃体手术的患儿 21 例,腺样体切除合并扁桃体全部切除的 5 例.结论 圆枕增生为扁桃体腺样体术后的较罕见的并发症,好发于 5 岁前接受腺样体伴/不伴扁桃体手术的儿童;与变应性鼻炎的关系密切,抗过敏治疗有一定的临床疗效;低温等离子技术手术治疗增生圆枕有临床效果;与接受腺样体切除合并扁桃体全部切除的患儿相比,保留扁桃体手术的患儿中圆枕增生的现象较为多见.
Abstract
Objective To report the clinical phenomenon and characterisation of torus hyperplasia occurring after adenoidectomy and/or tonsillectomy in children.Methods This study included 26 pediatric patients diagnosed with torus hyperplasia.Clinical data(age,gender,time of first operation,way of operation and allergic rhinitis or not)were reviewed and analyzed.Results Twenty-six children who had underwent adenoidectomy and/or tonsillectomy had recurred snoring symptom,and were diagnosed with TTH.There were 20 males and 6 females,of whom 92.3%underwent first adenoidectomy and/or tonsillectomy before 5 years of age;the interval of diagnosis of torus hyperplasia after the operation ranged from 3 to 45 months.Eight children underwent partial resection of torus hyperplasia,the interval of two operations ranged from 3 to 48 months,and 10 exhibited definite signs and symptoms of aller-gic rhinitis.Twenty-one children underwent adenoidectomy or adenoidectomy with partial tonsillectomy,and 5 underwent adenoid-ectomy with total tonsillectomy.Conclusion TTH is a rare complication after adenoidectomy,and tended to occur in those who un-derwent adenoidectomy before 5 years of age.TTH was associated with allergic rhinitis,anti-allergic therapy has a certain clinical effect,and low-temperature plasma surgery is useful for torus hyperplasia.Torus hyperplasia was more common in children undergo-ing adenoidectomy without tonsillectomy than in those undergoing adenoidectomy with tonsillectomy.
关键词
阻塞性睡眠呼吸暂停综合征/腺样体肥大/等离子技术/圆枕增生/儿童Key words
Obstructive sleep apnea syndrome/Adenoid hypertrophy/Plasma technology/Tubal torus hyperplasia/Children引用本文复制引用
出版年
2024
NETL
NSTL
万方数据