CAJ | 학술논문

目的：探讨内镜切除联合等离子消融术治疗扁桃体肥大继发鼾症的疗效。方法回顾性分析该院2010年1月至2013年1月70例扁桃体肥大继发鼾症患者，随机分为观察组和对照组，观察组采用内镜切除联合等离子消融术，对照组采用传统扁桃体摘除术。分析比较治愈率、术中出血量、手术时间、疼痛指数、术后并发症发生率等相关指标。结果观察组总有效率为91．67％，明显大于对照组的73．51％，差异有统计学意义（ P＜0．05）。观察组手术时间、出血量和疼痛指数分别是（23．34±2．21）min、（10．33±1．15）mL和（1．70±0．46）分，明显低于对照组的（35．00±2．70）min、（51．76±3．48）mL和（5．83±1．56）分，两组比较差异有统计学意义（P＜0．05）。治疗前两组患者呼吸暂停低通气指数（AHI）比较，差异无统计学意义（P＞0．05）；治疗后观察组患者AHI明显低于对照组（P＜0．05）；且观察组并发症发生率明显低于对照组，差异有统计学意义（P＜0．05）。结论内镜切除联合等离子消融术比传统手术疗效更佳，更适合扁桃体肥大继发鼾症患者，值得临床推广。
목적：탐토내경절제연합등리자소융술치료편도체비대계발한증적료효。방법회고성분석해원2010년1월지2013년1월70례편도체비대계발한증환자，수궤분위관찰조화대조조，관찰조채용내경절제연합등리자소융술，대조조채용전통편도체적제술。분석비교치유솔、술중출혈량、수술시간、동통지수、술후병발증발생솔등상관지표。결과관찰조총유효솔위91．67％，명현대우대조조적73．51％，차이유통계학의의（ P＜0．05）。관찰조수술시간、출혈량화동통지수분별시（23．34±2．21）min、（10．33±1．15）mL화（1．70±0．46）분，명현저우대조조적（35．00±2．70）min、（51．76±3．48）mL화（5．83±1．56）분，량조비교차이유통계학의의（P＜0．05）。치료전량조환자호흡잠정저통기지수（AHI）비교，차이무통계학의의（P＞0．05）；치료후관찰조환자AHI명현저우대조조（P＜0．05）；차관찰조병발증발생솔명현저우대조조，차이유통계학의의（P＜0．05）。결론내경절제연합등리자소융술비전통수술료효경가，경괄합편도체비대계발한증환자，치득림상추엄。
Objective To discuss the curative effect of endoscopic resection combined with plasma ablation in treatment of tonsil hypertrophy secondary snoring .Methods A total of 70 patients with tonsil hypertrophy seconda‐ry snoring from January 2010 to January 2013 were analyzed retrospectively ,and divided randomly into observation group(36 cases) and control group(34 cases) .Patients in the observation group were conducted endoscopic resection combined with plasma ablation ,patients in the control group accepted the traditional tonsillectomy .The cure rate ,a‐mount of bleeding ,operation time ,pain index and postoperative complications were compared in the two groups .Re‐sults The total efficiency of the observation group(91 .67% ) was significant higher than that of the control group (73 .15% ) ,P<0 .05 .The operation time[(23 .34 ± 2 .21)min] ,the amount of bleeding[(10 .33 ± 1 .15)mL] ,and pain index[(1 .70 ± 0 .46)scores] in the observation group were significant less than that of the control group[(35 .00 ± 2 .70)min ,(51 .76 ± 3 .48)mL ,(5 .83 ± 1 .56)scores] (P<0 .05) .The apnea hypopnea index(AHI) in the two groups before operation had no statistical significant(P>0 .05) ,but after operation that of the observation group were sig‐nificant lower than that of the control group(P<0 .05) .The incidence of postoperative complications in the observa‐tion group was significant lower than that of the control group(P<0 .05) .Conclusion The curative effect of endo‐scopic resection combined with plasma radiofrequency is better than the traditional tonsillectomy ,more suitable for patients with tonsillar hypertrophy secondary snoring ,which is worth the clinical promotion .