内窥镜联合低温等离子对小儿鼾症的治疗研究  

Clinical Analysis on Treatment of Children Snore by the Low-temperature Plasma with Nasal Endoscopic

作　　者：历建强[1] 吕春雷[1] 亓晓茗[1] 周长波[1] 

机构地区：[1]中国人民解放军第八十八医院耳鼻喉科,山东泰安271000

出　　处：《中国继续医学教育》2014年第2期1-3,共3页China Continuing Medical Education

摘　　要：目的探讨鼻内窥镜下低温等离子刀行扁桃体和腺样体手术切除治疗小儿鼾症的临床疗效。方法回顾分析我院住院的180例扁桃体肥大合并腺样体肥大的小儿鼾症患者的临床资料,采用鼻内窥镜下低温等离子刀行扁桃体和腺样体手术,与传统手术切除病例进行临床观察,明确治疗效果。结果术后6个月,所有患者睡眠呼吸打鼾现象较术前均有所改善,鼻窦内窥镜手术组明显优于传统手术组(P<0.05);慢性分泌性中耳炎治疗有效率鼻内窥镜手术组明显优于传统手术组(P<0.05)。结论鼻窦内窥镜下低温等离子刀行扁桃体和腺样体切除治疗小儿鼾症具有良好的临床治疗效果。Objective To evaluate the clinical efficacy of treatment to resect tonsil and adenoidal of children with snore by the low-temperature plasma with nasal endoscopic. Methods Retrospective analyse the clinical data of 180 patients with tonsil and adenoidal hypertrophy. Clinical treatment efficacy to resect tonsil and adenoidal was observed in all cases between the low-temperature plasma with nasal endoscopic and the traditional surgical treatment. Results During 6 months after operation, children with snore were significantly reduced in all cases, however, the difference between the nasal endoscopic group and the traditional surgical group was significant （P〈0.05）, and the similar result was shown in the efficacy of secretory otitis media （P〈0.05）. The nasal endoscopic group was significantly better. Conclusion The treatment to resect tonsil and adenoidal of children with snore by the low-temperature plasma with nasal endoscopic appears to produce good results, and it is worth of increasing clinic use.

关 键 词：鼾症 鼻内窥镜 手术 扁桃体 腺样体 

分 类 号：R726.1[医药卫生—儿科]