新医学2016，Vol.47Issue(6)：397-399,3.DOI:10.3969/j.issn.0253-9802.2016.06.012
儿童腺样体肥大的术式探讨
Comparison of three surgical techniques in the treatment of pediatric adenoid hypertrophy
李琰 1孙昌志 1周丽枫 1曾清香1
作者信息
- 1. 510623 广州，广州市妇女儿童医疗中心耳鼻咽喉头颈外科
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy among indirect nasopharyngoscope-guided ra-diofrequency coblation,transoral endoscopy-guided radiofrequency coblation and transoral power-assisted endo-scopic adenoidectomy in treating the pediatric adenoid hypertrophy.Methods A total of 1 80 children diag-nosed with adenoidal hypertrophy were enrolled and divided into groups A,B and C (n =60 for each group). In group A,patients underwent indirect nasopharyngoscope-guided radiofrequency coblation,transoral endosco-py-guided radiofrequency coblation in group B and transoral power-assisted endoscopic adenoidectomy in group C.Preoperative preparation time,operation time,intraoperative hemorrhage volume,postoperative pain dura-tion and postoperative complications were statistically compared among three groups.Results Preoperative preparation time in group A was significantly shorter than that in groups B and C(both P <0.01 ).In groups A and B,the operation time was considerably shorter and intraoperative hemorrhage volume was significantly less than those in group C(all P <0.01 ).However,no statistical significance was noted in terms of postoperative pain duration among three groups(P >0.05).Conclusions Compared with transoral endoscopy-guided radio-frequency coblation and transoral power-assisted endoscopic adenoidectomy,indirect nasopharyngoscope-guided radiofrequency coblation is preferentially recommended in treating pediatric adenoid hypertrophy due to simpler preoperative preparation,shorter operation time,less intraoperative bleeding and less postoperative pain.关键词
腺样体肥大/儿童/内镜/低温等离子Key words
Adenoidal hypertrophy/Children/Endoscope/Radiofrequency plasma引用本文复制引用
李琰,孙昌志,周丽枫,曾清香..儿童腺样体肥大的术式探讨[J].新医学,2016,47(6):397-399,3.
