首页|低温等离子射频消融术对小儿扁桃体肥大合并鼾症的疗效研究

低温等离子射频消融术对小儿扁桃体肥大合并鼾症的疗效研究

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目的 探究低温等离子射频消融术(LPRFA)对小儿扁桃体肥大合并鼾症的治疗效果。方法 选取郑州民生耳鼻喉医院 2021 年 8 月至 2024 年 1 月收治的 72 例扁桃体肥大合并鼾症患儿的临床资料进行回顾性分析,并根据不同的治疗方案分为对照组(行传统扁桃体切除术)与研究组(行LPRFA),各 36 例,比较两组治疗效果。结果 研究组治疗有效率(97。22%)高于对照组(77。78%),差异有统计学意义(P<0。05)。研究组手术时间、术中出血量、住院及术后疼痛持续时间均低于对照组,差异有统计学意义(P<0。05)。术后3 h、6 h、12 h,研究组视觉模拟评分法(VAS评分)均低于对照组,差异有统计学意义(P<0。05)。术前,两组睡眠质量评分比较,差异无统计学意义(P>0。05);术后,研究组睡眠质量评分低于对照组,差异有统计学意义(P<0。05)。研究组并发症发生率(5。56%)低于对照组(22。22%),差异有统计学意义(P<0。05)。结论 对扁桃体肥大合并鼾症患儿予以LPRFA治疗,可显著提升临床疗效,改善手术指标,缓解机体疼痛,调节睡眠质量,降低并发症发生率,值得应用。
Study on the Efficacy of Low-Temperature Plasma Radiofrequency Ablation for Children with Tonsillar Hypertrophy and Snoring
Objective To explore the therapeutic effect of Low-Temperature Plasma Radiofrequency Ablation(LPRFA)on children with tonsillar hypertrophy and snoring.Methods The clinical data of 72 children with tonsillar hypertrophy and snoring treated in Zhengzhou Minsheng Otolaryngology Hospital from August 2021 to January 2024 were retrospectively analyzed.According to different treatment plans,they were divided into a control group(traditional tonsillectomy)and a research group(LPRFA),each with 36 cases,and the treatment effects of the two groups were compared.Results The effective rate of treatment in the research group(97.22%)was higher than that in the control group(77.78%),and the difference was statistically significant(P<0.05).The operation time,intraoperative blood loss,hospital stay,and postoperative pain duration of the research group were all lower than those of the control group,and the difference was statistically significant(P<0.05).At 3 h,6 h,and 12 h after surgery,the Visual Analogue Scale(VAS)scores of the research group were all lower than those of the control group,and the difference was statistically significant(P<0.05).Before surgery,there was no significant difference in sleep quality scores between the two groups(P>0.05);after surgery,the sleep quality score of the research group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the research group(5.56%)was lower than that in the control group(22.22%),and the difference was statistically significant(P<0.05).Conclusion LPRFA treatment for children with tonsillar hypertrophy and snoring can significantly improve clinical efficacy,improve surgical indicators,alleviate body pain,regulate sleep quality,and reduce the incidence of complications,which is worth applying.

radiofrequency ablationtonsillar hypertrophysnoringsleep quality

孙梅英

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郑州民生耳鼻喉医院 鼻咽喉科,河南 郑州 450000

射频消融术 扁桃体肥大 鼾症 睡眠质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)