The clinical effects of low-temperature plasma radiofrequency ablation adenoidectomy under nasal endoscope in children with snoring syndrome
Objective To investigate the effect of low temperature plasma radiofrequency ablation adenoidectomy under nasal endoscope on sleep quality and ventilation function in children with snoring syndrome.Methods Eighty-six children with snoring were randomly divided into a control group and a study group,43 in each group.The control group was treated with traditional tonsillectomy adenoidectomy.The study group was treated with nasal endoscope assisted low-temperature plasma ablation of adenoid and tonsils.The clinical effect,postoperative stress response indicators,ventilation function and quality of life were compared between the two groups.Results Compared with the control group,the study group had shorter surgical time,pain time,symptom relief time,and hospital stay,and less intraoperative bleeding.The overall effective rates of the control group and the study group were 90.7%and 97.7%,re-spectively.The difference was not statistically significant.After 24 hours postoperatively,compared with the control group,the levels of oxidative stress markers such as malondialdehyde(MDA),superoxide dismutase(SOD)and nitrotyrosine(3-NT)in the peripheral blood were significantly lower(P<0.05)in the study group.Conversely,the level of the antioxidant stress marker such as glutathione(GSH)was significantly higher(P<0.05).Compared with preoperative values,both groups showed a significant decrease in MDA and 3-NT levels(P<0.05),and a significant increase in SOD and GSH levels(P<0.05).After 6 months of surgery,the total score of OSA-18 as well as the five dimensions of sleep disorder,physical symptoms,bad mood,daytime function,and influence on guardians in the study group was significantly lower(P<0.05).Conclusions Compared with traditional adenoidectomy of tonsil,ade-noidectomy with low temperature plasma radiofrequency ablation under nasal endoscope can effectively remove the adenoid and improve the snoring symptom.As the results,the quality of life of children is improved.
Snoring disorderAdenoidectomy of tonsilLow temperature plasma radiofrequency ablation adenoidectomy
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