鼻内镜下腺样体手术两种不同术式的疗效比较  

Clinical comparison between endoscopic coblation technique and nasal dynamical system in adenoidectomy

作　　者：张恩柱[1] 汤凌浩[1] 吕梅[1] 冯亚[1] 

机构地区：[1]大连医科大学附属第一医院耳鼻喉科,辽宁大连116011

出　　处：《大连医科大学学报》2016年第4期374-376,共3页Journal of Dalian Medical University

摘　　要：目的比较分析鼻内镜下动力系统腺样体切除术与低温等离子射频消融腺样体切除术的疗效。方法选取2013年2月至2013年10月大连医科大学附属第一医院耳鼻喉科收治的腺样体肥大手术患者84例,手术方式为患者自行选择,分为两组,其中44例行鼻内镜下传统腺样体切除术,40例行低温等离子射频消融腺样体切除术。统计两种术式的手术时间、术中出血量及术后2周的治疗有效率有无差异。结果等离子手术组术中平均出血量为(13.8±4.0)m L,均明显低于动力系统手术组出血量(24.0±4.2)m L,差异有统计学意义(P<0.05),两种术式的手术时间及术后两周的手术疗效差异无统计学意义(P>0.05)。结论鼻内镜下等离子低温射频消融腺样体切除术是一种安全有效,值得推广的术式。Objective To compare the efficacy between low-temperature plasma radiofrequency ablation adenoidectomy guided by nasal endoscope and powered microdebrider. Methods Totally 84 patients with adenoidal hypertrophy were divided randomly into two groups, including 44 patients treated by endoscopic adenoidectomy and 40 patients treated by microtherm plasma radio frequency. The operating time, intraoperative hemorrhage quantity, and effective rate after 2 weeks were recorded and statistically analyzed. Results The blood loss of microtherm plasma radio frequency group was less than adenoidectomy group （P〈0.05）. The operating time and the effective rate after 2 weeks were compared with no significant difference （P〉0.05）. Conclusion Microtherm plasma radio frequency is safe and effective treatment for children with adenoidal hypertrophy and is worth popularizing.

关 键 词：腺样体肥大 腺样体切除术 低温等离子 鼻内镜 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]