中国中西医结合耳鼻咽喉科杂志
中國中西醫結閤耳鼻嚥喉科雜誌
중국중서의결합이비인후과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
2期
118-120
,共3页
陈钢%刘凤荣%吴慧莉%孙汝山%王俊阁
陳鋼%劉鳳榮%吳慧莉%孫汝山%王俊閣
진강%류봉영%오혜리%손여산%왕준각
腺样体肥大%腺样体切除术%鼻内镜%低温等离子
腺樣體肥大%腺樣體切除術%鼻內鏡%低溫等離子
선양체비대%선양체절제술%비내경%저온등리자
Adenoidalhypertrophy%Adenoidectomy%nasal endoscope%Low-temperature coblation
目的:分别通过低温等离子射频消融和鼻动力切割进行腺样体切除,观察两种手术方式的手术时间、出血量及疗效,分析两种手术方式的优缺点。方法收集2008年1月~2011年12月我院收治的儿童阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)中,扁桃体和/或腺样体肥大的患儿共75例,其中30例行鼻动力切割腺样体切除术,45例行低温等离子射频消融腺样体切除术,统计两种术式的手术时间、出血量及术后半年疗效(儿童OSAHS疾病特异性生活质量调查(OSA-18))评估有无差异。结果鼻动力切割组与等离子消融组比较,两者切除腺样体手术时间差异无统计学意义,但是鼻动力切割组出血量明显多于等离子消融组,差异有统计学意义(P<0.05),两者手术方式对儿童阻塞性睡眠呼吸暂停低通气综合征都有治疗效果。结论两种术式术后都能改善患儿的生活质量,疗效满意;鼻内镜下等离子低温射频消融腺样体切除术较鼻动力切割手术出血明显减少,值得推广。
目的:分彆通過低溫等離子射頻消融和鼻動力切割進行腺樣體切除,觀察兩種手術方式的手術時間、齣血量及療效,分析兩種手術方式的優缺點。方法收集2008年1月~2011年12月我院收治的兒童阻塞性睡眠呼吸暫停低通氣綜閤徵(obstructive sleep apnea hypopnea syndrome,OSAHS)中,扁桃體和/或腺樣體肥大的患兒共75例,其中30例行鼻動力切割腺樣體切除術,45例行低溫等離子射頻消融腺樣體切除術,統計兩種術式的手術時間、齣血量及術後半年療效(兒童OSAHS疾病特異性生活質量調查(OSA-18))評估有無差異。結果鼻動力切割組與等離子消融組比較,兩者切除腺樣體手術時間差異無統計學意義,但是鼻動力切割組齣血量明顯多于等離子消融組,差異有統計學意義(P<0.05),兩者手術方式對兒童阻塞性睡眠呼吸暫停低通氣綜閤徵都有治療效果。結論兩種術式術後都能改善患兒的生活質量,療效滿意;鼻內鏡下等離子低溫射頻消融腺樣體切除術較鼻動力切割手術齣血明顯減少,值得推廣。
목적:분별통과저온등리자사빈소융화비동력절할진행선양체절제,관찰량충수술방식적수술시간、출혈량급료효,분석량충수술방식적우결점。방법수집2008년1월~2011년12월아원수치적인동조새성수면호흡잠정저통기종합정(obstructive sleep apnea hypopnea syndrome,OSAHS)중,편도체화/혹선양체비대적환인공75례,기중30례행비동력절할선양체절제술,45례행저온등리자사빈소융선양체절제술,통계량충술식적수술시간、출혈량급술후반년료효(인동OSAHS질병특이성생활질량조사(OSA-18))평고유무차이。결과비동력절할조여등리자소융조비교,량자절제선양체수술시간차이무통계학의의,단시비동력절할조출혈량명현다우등리자소융조,차이유통계학의의(P<0.05),량자수술방식대인동조새성수면호흡잠정저통기종합정도유치료효과。결론량충술식술후도능개선환인적생활질량,료효만의;비내경하등리자저온사빈소융선양체절제술교비동력절할수술출혈명현감소,치득추엄。
Objective To investigate the clinical efficacy and safety of the adenoidectomy assisted by the coblation-assisted or the nasal dynamical system for the children with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods From January 2008 to December 2011, the adenoidectomy had been done assisted by ENT Coblator surgical instrument or nasal dynamical system for 75 children, aged 3 to 13 years old. The follow-ups were conducted by telephone interview and the follow up time was 6 months after the operation. The responses were recorded on a standardized questionnaire (pediatric OSAHS disease-specific quality of life survey (OSA-18)).Results here was no significant difference in the operation times between two groups and the amount of bleeding of the adenoidectomy assisted by the nasal dynamical system was more than those of the coblation. Both ways decrease the scores of the OSA-18 in patients statistically after 6 months.ConclusionThe adenoidectomy assisted by the coblation-assisted or the nasal dynamical system both had good clinical efficacy and can be especially suitable for surgical treatment of children with OSAHS.