首页|低温等离子腺样体消融术与动力系统腺样体切除术治疗儿童慢性鼻窦炎伴腺样体肥大的效果分析

低温等离子腺样体消融术与动力系统腺样体切除术治疗儿童慢性鼻窦炎伴腺样体肥大的效果分析

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目的 观察低温等离子腺样体消融术和动力系统腺样体切除术治疗儿童慢性鼻窦炎伴腺样体肥大的效果。方法 150 例慢性鼻窦炎伴腺样体肥大的患儿,根据手术方案不同分为对照组和研究组,各 75 例。对照组患儿采用动力系统腺样体切除术治疗,研究组患儿采用低温等离子腺样体消融术治疗。比较两组治疗前后症状评分及围手术期相关指标、临床疗效及家属对治疗的满意度。结果 研究组患儿术中出血量(2。24±0。61)ml少于对照组的(4。87±0。95)ml,手术时间(36。32±2。28)min短于对照组的(52。86±6。45)min,术后疼痛感评分(3。34±0。44)分低于对照组的(6。25±1。28)分,差异有统计学意义(P<0。05)。治疗后,两组晨起咳嗽、鼻塞、打鼾、流脓鼻涕评分较治疗前降低,差异有统计学意义(P<0。05);两组治疗后晨起咳嗽、鼻塞、打鼾、流脓鼻涕评分组间比较差异无统计学意义(P>0。05)。研究组患儿总有效率稍高于对照组,但差异无统计学意义(P>0。05)。研究组患儿家属对治疗的满意度 100。00%高于对照组的92。00%,差异有统计学意义(P<0。05)。结论 在慢性鼻窦炎伴腺样体肥大患儿的手术方案选择中,低温等离子腺样体消融术在减少术中出血量、缩短手术时间、减轻疼痛感方面有明显优势,患儿家属对治疗的满意度较高,效果理想。
Analysis of the effects of low-temperature plasma adenoid ablation and dynamic system adenoidectomy in the treatment of children with chronic sinusitis and adenoid hypertrophy
Objective To observe the effects of low-temperature plasma adenoid ablation and dynamic system adenoidectomy in the treatment of children with chronic sinusitis and adenoid hypertrophy.Methods 150 children diagnosed with chronic sinusitis and adenoid hypertrophy were divided into a control group and a study group according to different surgical plans,each with 75 cases.The control group was treated with dynamic system adenoidectomy,and the study group was treated with low-temperature plasma adenoid ablation.The symptom scores and perioperative indexes before and after treatment,clinical efficacy and family satisfaction were compared between the two groups.Results The intraoperative blood loss of(2.24±0.61)ml in the study group was less than(4.87±0.95)ml in the control group,the operation time of(36.32±2.28)min was shorter than(52.86±6.45)min in the control group,and the postoperative pain score of(3.34±0.44)points was lower than(6.25±1.28)points in the control group.The difference was statistically significant(P<0.05).After treatment,the scores of morning cough,nasal congestion,snoring,and runny nose of children in the two groups were lower than those before treatment,and the difference was statistically significant(P<0.05).After treatment,comparison of scores of morning cough,nasal congestion,snoring,and runny nose between the two groups,the difference was not statistically significant(P>0.05).The total effective rate of the study group was slightly higher than that of the control group,but the difference was not statistically significant(P>0.05).The satisfaction of the families with the treatment in the study group was 100.00%,which was higher than 92.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion In the selection of treatment modalities for children with chronic sinusitis and adenoid hypertrophy,low-temperature plasma adenoid ablation has obvious advantages in reducing intraoperative blood loss,shortening operation time and relieving pain,and increases family satisfaction with the treatment,yielding favorable outcomes.

Otorhinolaryngological diseaseLow-temperature plasma adenoid ablationDynamic system adenoidectomyChronic rhinosinusitis in childrenAdenoid hypertrophy

刘慈仁、潘洁红、朱国蚌、何颖怡

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511500 清远市妇幼保健院

耳鼻喉科疾病 低温等离子腺样体消融术 动力系统腺样体切除术 儿童慢性鼻窦炎 腺样体肥大

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(24)