鼻内镜下吸切割器切除术与腺样体刮除术治疗小儿腺样体肥大的临床效果比较  

Comparison on clinical effect of endoscopic suction cutter resection and adenoidectomy in the treatment of pediatric adenoidal hypertrophy

作　　者：李亚波[1] 顾兴华[1] 朱敬[1] 

机构地区：[1]江苏省靖江市人民医院耳鼻喉科,214500

出　　处：《中国实用医药》2016年第36期57-58,共2页China Practical Medicine

摘　　要：目的比较分析鼻内镜下吸切割器切除术与腺样体刮除术治疗小儿腺样体肥大的临床效果。方法 66例小儿腺样体肥大患儿,采用数字随机法分成观察组和对照组,各33例。观察组采取鼻内镜下吸切割器切除术治疗,对照组采取腺样体刮除术治疗,比较两组临床效果。结果观察组痊愈28例(84.85%),显效4例(12.12%),无效1例(3.03%),总有效率96.97%,对照组痊愈16例(48.48%),显效11例(33.33%),无效6例(18.18%),总有效率81.82%,观察组患儿总有效率高于对照组,差异有统计学意义(P<0.05)。观察组术后出血1例(3.03%),腺样体残留0例,并发症发生率3.03%,对照组术后出血7例(21.21%),腺样体残留5例(15.15%),并发症发生率36.36%,观察组患儿并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论鼻内镜下吸切割器切除术治疗小儿腺样体肥大疗效和术后并发症均优于传统腺样体刮除术,是优秀的治疗方式之一。Objective To compare and analyze the clinical effect of endoscopic suction cutter resection and adenoidectomy in the treatment of pediatric adenoidal hypertrophy. Methods A total of 66 pediatric adenoidal hypertrophy children were divided by random number method into observation group and control group, with 33 cases in each group. The observation group had endoscopic suction cutter resection for treatment, and the control group had adenoidectomy for treatment. Clinical effect was compared in two groups. Results The observation group had 28 cured cases （84.85%）, 4 effective cases （12.12%） and 1 ineffective case （3.03%）, with total effective rate as 96.97%. The control group had 16 cured cases （48.48%）, 11 effective cases （33.33%） and 6 ineffective cases （18.18%）, with total effective rate as 81.82%. The observation group had higher total effectiverate than the control group, and the difference had statistical significance （P〈0.05）. The observation group had 1 postoperative bleeding case （3.03%）, 0 adenoidectomy residual case, with incidence of complications as 3.03%, while the control group had 7 postoperative cases （21.21%）, 5 adenoidectomy residual cases （15.15%）, with incidence of complications as 36.36%. The observation group had lower incidence of complications than the control group, and the difference had statistical significance （P〈0.05）. Conclusion Endoscopic suction cutter resection shows better curative effect and postoperative incidence of complications, in the treatment of pediatric adenoidal hypertrophy than adenoidectomy. So it is one of the best treatment methods.

关 键 词：鼻内镜下吸切割器切除术 腺样体刮除术 小儿腺样体肥大 临床效果 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]