Study on the Clinical Application of Tonsillectomy Combined with Endoscopic Adenoidectomy
Objective To investigate the clinical application of tonsillectomy combined with endoscopic adenoidectomy.Methods A total of 50 patients who were diagnosed and treated in our hospital from August 2020 to August 2023 were selected as the research objects.They were divided into control group(24 patients)and observation group(26 patients)by random number table method.The control group was treated with plasma endoscopic adenoidectomy,and the observation group was treated with plasma endoscopic adenoidectomy+adenoidectomy.The clinical operation indexes(operation time,intraoperative blood loss,hospitalization time),pain score(VAS),clinical symptom score(swelling of the operation area,snoring,mouth breathing),adenoid residual rate,complication rate and recurrence rate were compared between the two groups.Results The operation time,intraoperative blood loss and hospitalization time of the observation group were higher than those of the control group(P<0.05).The VAS score of the observation group at 6 h after operation was higher than that of the control group(P<0.05),while there was no significant difference in VAS score between the observation group and the control group at 2 and 5 days after operation(P>0.05).The scores of swelling,snoring and mouth breathing in the two groups were lower than those before treatment,and those in the observation group were lower than the control group(P<0.05).The residual rate of adenoid in the observation group was 3.85%,which was compared with 4.16%in the control group,the difference was not statistically significant(P>0.05).The incidence of complications in the observation group was 3.85%,which was compared with 4.16%in the control group,the difference was not statistically significant(P>0.05).After 3 months of follow-up,the recurrence rate of the observation group was 3.85%,which was lower than 15.38%of the control group(P<0.05).Conclusion Tonsillectomy combined with endoscopic adenoidectomy is effective in clinical application.It will prolong the operation and hospitalization time and increase the amount of bleeding,but it can improve the ventilation function,reduce the recurrence rate,and will not increase the complications and pain.It is worthy of clinical application.
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