CAJ | 학술논문

目的：评价低温等离子消融术治疗小儿鼾症的疗效。方法多导睡眠呼吸监测确诊的82例患儿，在全麻下采用Arthrocare等离子刀系统行扁桃体摘除术，在70度鼻内镜辅助下行腺样体射频消融术。所有患儿均随访6月，总结术后并发症及其临床疗效。结果82例患儿中，1例患者术后第2天发生出血，1例患者术后第6天继发出血，其余患者无任何手术并发症。随访结果显示，82例患儿临床症状均得到改善。结论等离子消融手术时间明显缩短，术中出血量减少，是治疗儿童鼾症的有效方法。
목적：평개저온등리자소융술치료소인한증적료효。방법다도수면호흡감측학진적82례환인，재전마하채용Arthrocare등리자도계통행편도체적제술，재70도비내경보조하행선양체사빈소융술。소유환인균수방6월，총결술후병발증급기림상료효。결과82례환인중，1례환자술후제2천발생출혈，1례환자술후제6천계발출혈，기여환자무임하수술병발증。수방결과현시，82례환인림상증상균득도개선。결론등리자소융수술시간명현축단，술중출혈량감소，시치료인동한증적유효방법。
Objective To sum up our clinical experience with the use of plasma radiofrequency ablation at low temperature for the treatment of children patients with snoring condition. Methods Included in this report were 82 children cases with snoring condition diagnosed on the basis of PSG monitoring. All these cases were operated on under general anesthesia to remove tonsils and/or adenoid by hypothermia plasma ablation procedures with the use of Arthrocare radiofrequency operation system. Then, all the cases were followed up for more than 6 months to sum up post-operative complications occurred and clinical therapeutic effect observed among them. Results Among these 82 children cases, one was seen with primary post-operative bleeding on the following day after the operation and another one complicated with secondary post-operative bleeding on the 6th day of the operation, no other serious complications found among the remainder children. As seen during the following period, clinical symptoms were all significantly improved among these 82 children patients. Conclusions Hypothermia plasma ablation can be taken as an effective therapeutic procedure for children with snoring condition, with such advantages as significantly shortened operating time and reduced volume of bleeding during operation.