中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
15期
9-12
,共4页
毛贺娟%蒋蓉%陈艳辉%赵倩%颜光堂%程奇%王建洪%肖世强
毛賀娟%蔣蓉%陳豔輝%趙倩%顏光堂%程奇%王建洪%肖世彊
모하연%장용%진염휘%조천%안광당%정기%왕건홍%초세강
鼻内镜%腺样体肥大%射频消融%儿童
鼻內鏡%腺樣體肥大%射頻消融%兒童
비내경%선양체비대%사빈소융%인동
Nasal nasal endoscope%Adenoid hypertrophy%Radiofrequency ablation%Children
目的:探讨鼻内镜下经口低温等离子射频消融治疗儿童腺样体肥大的临床疗效。方法回顾性分析98例患腺样体肥大的儿童对于不同治疗手段的疗效情况,分为试验组50例和对照组48例,其中试验组给予鼻内镜下低温等离子射频消融术,对照组给予传统腺样体刮除术,并分析比较两组患儿的手术时间、术中出血量及住院时间,并随访1年,比较观察患儿的鼻塞、打鼾和听力等临床症状,以及患儿术后残留、复发及并发症发生情况。结果与对照组比较,试验组的术中出血量明显低于对照组,且差异有统计学意义(P<0.05);试验组术后鼻塞、打鼾和听力等临床总有效率分别为86.0%(43/50)、80.0%(40/50)、76.0%(38/50),明显高于对照组的68.8%(33/48)、60.4%(29/48)、54.2%(26/48),差异有统计学意义(P<0.05);试验组术后仅1(2.0%)例腺样体残留,且未见腺样体肥大复发,对照组术后腺样体残留率58.3%(28/48),腺样体肥大复发率16.7%(8/48),两组比较差异有统计学意义(P<0.05),且两组术后均未见严重并发症发生。此外,对两组进行未复发率分析及Log-rank检验,差异有显著性意义(P<0.05)。结论鼻内镜下低温等离子射频消融治疗儿童腺样体肥大临床疗效好,术中出血量少,术后无复发和其他并发症发生,可作为手术治疗儿童腺样体肥大的首选方法。
目的:探討鼻內鏡下經口低溫等離子射頻消融治療兒童腺樣體肥大的臨床療效。方法迴顧性分析98例患腺樣體肥大的兒童對于不同治療手段的療效情況,分為試驗組50例和對照組48例,其中試驗組給予鼻內鏡下低溫等離子射頻消融術,對照組給予傳統腺樣體颳除術,併分析比較兩組患兒的手術時間、術中齣血量及住院時間,併隨訪1年,比較觀察患兒的鼻塞、打鼾和聽力等臨床癥狀,以及患兒術後殘留、複髮及併髮癥髮生情況。結果與對照組比較,試驗組的術中齣血量明顯低于對照組,且差異有統計學意義(P<0.05);試驗組術後鼻塞、打鼾和聽力等臨床總有效率分彆為86.0%(43/50)、80.0%(40/50)、76.0%(38/50),明顯高于對照組的68.8%(33/48)、60.4%(29/48)、54.2%(26/48),差異有統計學意義(P<0.05);試驗組術後僅1(2.0%)例腺樣體殘留,且未見腺樣體肥大複髮,對照組術後腺樣體殘留率58.3%(28/48),腺樣體肥大複髮率16.7%(8/48),兩組比較差異有統計學意義(P<0.05),且兩組術後均未見嚴重併髮癥髮生。此外,對兩組進行未複髮率分析及Log-rank檢驗,差異有顯著性意義(P<0.05)。結論鼻內鏡下低溫等離子射頻消融治療兒童腺樣體肥大臨床療效好,術中齣血量少,術後無複髮和其他併髮癥髮生,可作為手術治療兒童腺樣體肥大的首選方法。
목적:탐토비내경하경구저온등리자사빈소융치료인동선양체비대적림상료효。방법회고성분석98례환선양체비대적인동대우불동치료수단적료효정황,분위시험조50례화대조조48례,기중시험조급여비내경하저온등리자사빈소융술,대조조급여전통선양체괄제술,병분석비교량조환인적수술시간、술중출혈량급주원시간,병수방1년,비교관찰환인적비새、타한화은력등림상증상,이급환인술후잔류、복발급병발증발생정황。결과여대조조비교,시험조적술중출혈량명현저우대조조,차차이유통계학의의(P<0.05);시험조술후비새、타한화은력등림상총유효솔분별위86.0%(43/50)、80.0%(40/50)、76.0%(38/50),명현고우대조조적68.8%(33/48)、60.4%(29/48)、54.2%(26/48),차이유통계학의의(P<0.05);시험조술후부1(2.0%)례선양체잔류,차미견선양체비대복발,대조조술후선양체잔류솔58.3%(28/48),선양체비대복발솔16.7%(8/48),량조비교차이유통계학의의(P<0.05),차량조술후균미견엄중병발증발생。차외,대량조진행미복발솔분석급Log-rank검험,차이유현저성의의(P<0.05)。결론비내경하저온등리자사빈소융치료인동선양체비대림상료효호,술중출혈량소,술후무복발화기타병발증발생,가작위수술치료인동선양체비대적수선방법。
Objective To investigate the low temperature plasma radiofrequency ablation through the mouth under endoscope clinical curative effect for the treatment of adenoid hypertrophy in children. Methods A retrospective analysis of 98 cases of children with adenoid hypertrophy were to the curative effect of different treatments, 50 cases were divided into test group and control group, 48 cases of experimental group gives the low-temperature plasma radiofrequency ablation under endoscope, the control group given conventional adenoidectomy curettage, and analysis and comparison of two groups of children with operation time, intraoperative blood loss and length of hospital stay, and followed up for 1 year, compared to observe the patient's clinical symptoms such as nasal congestion, snoring and hearing, and postoperative residue, recurrence and complications. Results Compared with control group, experimental intraoperatie blood loss is lower than the control group significantly, and the difference was statistically significant (P < 0.05); Patients postoperative nasal congestion, snoring and hearing the clinical total effective rate was 86.0%(43/50), 80.0%(40/50), 76.0%(38/50), significantly higher than the control group 68.8%(33/48), 60.4%(29/48), 54.2%(26/48), the difference was statistically significant (P<0.05);Patients postoperative only 1 (2.0%) cases of adenoid residual body, and no recurrence of adenoid hypertrophy, the control group after adenoidectomy residual rate is 58.3%(28/48), recurrent adenoid hypertrophy were 16.7%(8/48), is similar between the two groups have statistical significance (P<0.05), and two groups there were no serious postoperative complications. In addition, the two groups were no recurrence rate analysis and Log-rank test, there were significant differences (P<0.05). Conclusion Nasal endoscopic low-temperature plasma radiofrequency ablation in the treatment of adenoid hypertrophy in children good clinical curative effect, less intraoperative blood loss, postoperative recurrence and other complications, can be used as a surgical preferred method for the treatment of adenoid hypertrophy in children.