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鼻内镜辅助低温等离子腺样体切除术的临床疗效观察

郭建东 尤慧华 李栋 张玉兰 方勇进

中国内镜杂志2017,Vol.23Issue(9):64-68,5.
中国内镜杂志2017,Vol.23Issue(9):64-68,5.DOI:10.3969/j.issn.1007-1989.2017.09.012

鼻内镜辅助低温等离子腺样体切除术的临床疗效观察

Clinical efficacy of nasal endoscope-assisted low temperature plasma adenoidectomy

郭建东 1尤慧华 1李栋 1张玉兰 1方勇进1

作者信息

  • 1. 浙江省金华市中心医院 耳鼻咽喉 - 头颈外科,浙江 金华 321000
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摘要

Abstract

Objective To evaluate the clinical efficacy of nasal endoscope-assisted low temperature plasma adenoidectomy. Methods 100 patients who underwent adenoidectomy from May 2012 to August 2016 were enrolled in the study. All the patients were randomly divided into the observation group (50 cases) and control group (50 cases). Patients in the observation group underwent nasal endoscope-assisted low-temperature plasma adenoidectomy, and patients in control group was treated with nasal endoscope-assisted electric adenoidectomy. The operation time, bleeding volume, recovery time of nasal ventilation, clinical efficacy, postoperative complications of the two groups were analyzed and compared. Results In the observation group, the operation time, bleeding volume, recovery time of nasal ventilation was (4.9 ± 1.6) min, (19.6 ± 5.6) ml and (2.9 ± 0.5) d, respectively, which was significantly less than that of the control group (11.9 ± 3.9) min, (61.6 ± 12.1) ml and (5.9 ± 1.6) d, respectively (P < 0.05). The clinical efficacy of the observation group and the control group was 92.0%, and 86.0%, there was no significant difference between the two groups (P > 0.05). In the observation group, the pain index was (1.8 ± 1.0), which was significantly lower than that of the control group (5.6 ± 2.1), the difference was statistically significant (P < 0.05), and there was no significant difference with respect to postoperative hemorrhage, fever and snoring (P > 0.05). In addition, there was no postoperative complication observed in the observation group, while, the complication rate of the control group was 10.0%, the difference between the two groups was statistically significant (P < 0.05). Conclusion Nasal endoscope-assisted low temperature plasma adenoidectomy is effective and safe in the treatment of adenoid hypertrophy with less pain and fewer complications, which can be used as a routine clinical treatment for adenoid hypertrophy in children.

关键词

腺样体肥大/鼻内镜/低温等离子消融术/临床疗效

Key words

adenoidal hypertrophy/nasal endoscope/low temperature plasma ablation/clinical efficacy

分类

医药卫生

引用本文复制引用

郭建东,尤慧华,李栋,张玉兰,方勇进..鼻内镜辅助低温等离子腺样体切除术的临床疗效观察[J].中国内镜杂志,2017,23(9):64-68,5.

中国内镜杂志

OACSTPCD

1007-1989

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