低温等离子刀辅助下腺样体切除术与传统刮除术的疗效比较(1)
摘要：目的 观察低温等离子刀辅助下腺样体切除术与传统刮除术在术中、术后对患者的影响。方法 将2014年1月～2016年6月钦州市第二人民医院耳鼻咽喉头颈外科需行腺样体切除的90例鼾症患者随机分成两组，45例采用低温等离子刀辅助下腺样体切除术作为观察组，45例采用传统刮除术为对照组，比较两组的手术时间、术中出血量及术后疼痛的差异。结果 两组患者手术时间差异无统计学意义(P>0.05)，观察组术后疼痛及术中出血量 评分显著低于对照组(P<0.01)。结论 低温等离子刀辅助下腺样体切除术具有术后疼痛轻、术中出血少的优点，有较好临床运用价值。
关键词：低温等离子；刮除；腺样体切除术
Comparative Study on the Clinical Effect of Adenoidectomy with Traditional Curettage and Radiofrequency Ablation
, 百拇医药
LV Zhong， DENG Li-bo，WEN Li-hui
(Department of Otorhinolaryngology Head and Neck Surgery， The Second People's Hospital of Qingzhou City， Qinzhou 535000， Guangxi， China)
Abstract：Objective To investigate the clinical effect of adenoidectomy with traditional curettage and radiofrequency ablation on patients during and after operation. Methods Ninety patients scheduled for adenoidectomy from 2014.1 to 2016.6 in the Department of Otorhinolaryngology Head and Neck Surgery of the Second People's Hospital of Qinzhou City were classified into two groups randomly. Patients of the observation group (n=45) were treated by adenoidectomy with radiofrequency ablation， and those in the control group (n=45) were treated by adenoidectomy with traditional curettage. The difference between the two groups was analyzed in the operation time， amount of bleeding， postoperative pain. Results There were no statistically significant difference in the operation time between the two groups (P>0.05). The rating score of postoperative pain and bleeding volume of the observation group was significantly lower than that of the control group (P<0.01). Conclusion Adenoidectomy with radiofrequency ablation has the advantage of less postoperative pain and bleeding during operation， which provides favorable clinical value.
, 百拇医药
Key words：Low temperature plasma； Curettage； Adenoidectomy
腺样体切除术是耳鼻咽喉头颈外科治疗腺样体肥大的主要手术方式，而腺样体肥大亦是儿童打鼾最常见的疾病之一，常引起睡眠打鼾、中耳炎、鼻窦炎，甚至出现腺样体面容，因此，当腺样体肥大并引起临床症状及并发症时应及时手术，传统的手术方式是采用刮除法，但其缺点是术中出血多、视野盲目，而目前新兴的低温等离子射频消融术辅助下腺样体切除术可以有效控制术中、术后出血，已逐步成为腺样体切除术的主要术式，而且随着人民生活水平的不断提高，患者及家属对手术要求越来越高，如何减轻患者术后疼痛、出血已成为临床十分关注问题。本文选取2014年1月～2016年6月钦州市第二人民醫院耳鼻咽喉头颈外科45例低温等离子刀辅助下腺样体切除术手术患者与另外45例传统采用刮除法患者进行比较，取得较好临床效果，现报道如下：
1 资料与方法
1.1一般资料 选择2014年1月～2016年6月在钦州市第二人民医院耳鼻咽喉头颈外科住院需行腺样体手术患者90 例，病例标准：所有患者均行鼻咽侧位片，提示A/N>70%或CT及电子鼻咽喉提示腺样体肥大，均有鼻塞打鼾、合并鼻窦炎或中耳炎，需要同时行扁桃体水平及明显手术禁忌患者以排除。按随机数字表随机分为两组：观察组 45例，其中男 24例，女 21例，年龄3～55岁，病程(13.5±7.5)个月，采用等离子刀辅助下腺样体手术。对照组 45例，其中男26例，女19例，年龄3.2～56岁，病程(14.3±6.9)个月，采用传统腺样体刮除术，两组患者性别、年龄、病程、差异均无统计学意义，具有可比性(P>0.05)。, 百拇医药(吕忠 邓立波 温丽慧)
关键词：低温等离子；刮除；腺样体切除术
Comparative Study on the Clinical Effect of Adenoidectomy with Traditional Curettage and Radiofrequency Ablation
, 百拇医药
LV Zhong， DENG Li-bo，WEN Li-hui
(Department of Otorhinolaryngology Head and Neck Surgery， The Second People's Hospital of Qingzhou City， Qinzhou 535000， Guangxi， China)
Abstract：Objective To investigate the clinical effect of adenoidectomy with traditional curettage and radiofrequency ablation on patients during and after operation. Methods Ninety patients scheduled for adenoidectomy from 2014.1 to 2016.6 in the Department of Otorhinolaryngology Head and Neck Surgery of the Second People's Hospital of Qinzhou City were classified into two groups randomly. Patients of the observation group (n=45) were treated by adenoidectomy with radiofrequency ablation， and those in the control group (n=45) were treated by adenoidectomy with traditional curettage. The difference between the two groups was analyzed in the operation time， amount of bleeding， postoperative pain. Results There were no statistically significant difference in the operation time between the two groups (P>0.05). The rating score of postoperative pain and bleeding volume of the observation group was significantly lower than that of the control group (P<0.01). Conclusion Adenoidectomy with radiofrequency ablation has the advantage of less postoperative pain and bleeding during operation， which provides favorable clinical value.
, 百拇医药
Key words：Low temperature plasma； Curettage； Adenoidectomy
腺样体切除术是耳鼻咽喉头颈外科治疗腺样体肥大的主要手术方式，而腺样体肥大亦是儿童打鼾最常见的疾病之一，常引起睡眠打鼾、中耳炎、鼻窦炎，甚至出现腺样体面容，因此，当腺样体肥大并引起临床症状及并发症时应及时手术，传统的手术方式是采用刮除法，但其缺点是术中出血多、视野盲目，而目前新兴的低温等离子射频消融术辅助下腺样体切除术可以有效控制术中、术后出血，已逐步成为腺样体切除术的主要术式，而且随着人民生活水平的不断提高，患者及家属对手术要求越来越高，如何减轻患者术后疼痛、出血已成为临床十分关注问题。本文选取2014年1月～2016年6月钦州市第二人民醫院耳鼻咽喉头颈外科45例低温等离子刀辅助下腺样体切除术手术患者与另外45例传统采用刮除法患者进行比较，取得较好临床效果，现报道如下：
1 资料与方法
1.1一般资料 选择2014年1月～2016年6月在钦州市第二人民医院耳鼻咽喉头颈外科住院需行腺样体手术患者90 例，病例标准：所有患者均行鼻咽侧位片，提示A/N>70%或CT及电子鼻咽喉提示腺样体肥大，均有鼻塞打鼾、合并鼻窦炎或中耳炎，需要同时行扁桃体水平及明显手术禁忌患者以排除。按随机数字表随机分为两组：观察组 45例，其中男 24例，女 21例，年龄3～55岁，病程(13.5±7.5)个月，采用等离子刀辅助下腺样体手术。对照组 45例，其中男26例，女19例，年龄3.2～56岁，病程(14.3±6.9)个月，采用传统腺样体刮除术，两组患者性别、年龄、病程、差异均无统计学意义，具有可比性(P>0.05)。, 百拇医药(吕忠 邓立波 温丽慧)