鼻内镜下低温等离子消融与切割吸引器切除腺样体疗效观察  

Comparison of the therapeutic effect of low temperature plasma ablation and cutting aspirator for treatment of adenoid hypertrophy

作　　者：吴允刚[1] 刘黎明 WU Yungang;LIU Liming(Affiliated Hospital of Jining Medical University,Jining 272029,China;Juye County Traditional Chinese Hospital,Juye 274900,China)

机构地区：[1]济宁医学院附属医院,济宁272029 [2]巨野县中医院,巨野274900

出　　处：《济宁医学院学报》2019年第2期135-138,共4页Journal of Jining Medical University

基　　金：山东省医药卫生科技发展计划项目(2016WS0175);济宁市科技局基金(济科字[2016]56号-51)

摘　　要：目的比较鼻内镜下使用低温等离子消融和使用切割吸引器切除腺样体疗效的差别,以便更好地指导临床手术方式的选择。方法收集2015年10月-2016年10月济宁医学院附属医院住院手术的腺样体肥大患者共60例,随机分为两组,其中30例采用低温等离子消融为A组,另外30例采用切割吸引器为B组。结果所有患者的手术都很顺利,均未出现并发症,绝大多数患者术后病情均得到缓解,但A组患者在出血量、手术时间及症状缓解时间方面优于B组患者,同时A组患者的有效率也高于B组。结论低温等离子消融和切割吸引器均是治疗腺样体肥大的有效方式,但低温等离子消融具有出血少、手术视野清晰、创伤小的优点,低温等离子消融是临床值得推广的一种手术方式。Objective The aim of this study was to evaluate the efficacy of endoscopic low temperature plasma ablation and the removal of the adenoids with cutting aspirator,so as to guide the choice of clinical operation. Methods Sixty patients with adenoidal hypertrophy who were operated on in the Affiliated Hospital of Jining Medical University from October 2015 to October 2016 were collected.They were divided into two groups.Group A was treated with low temperature plasma resection of adenoids,and group B was treated with cutting aspirator. Results All the patients had successful surgery and no complications.Almost all patients were relieved after surgery,but the patients in group A were better than B in the amount of bleeding,operation time and recovery time,and the effective rate of A group was higher than that of B group. Conclusion Low temperature plasma and cutting aspirator are effective ways to treat adenoid hypertrophy,but low temperature plasma has the advantages of less bleeding,clear vision and less trauma.Low temperature plasma is a surgical method worthy of clinical promotion.

关 键 词：腺样体切除术 低温等离子 切割吸引器 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]