鼻内镜下低温等离子技术治疗儿童睡眠呼吸暂停低通气综合征的效果观察  

Effect of nasal endoscopic low-temperature plasma technique in treatment of obstructive sleep apnea-hypopnea syndrome children

作　　者：朱敬[1] 顾兴华[1] 李亚波[1] 陈燕[1] 卢炳红[1] ZHU Jing;GU Xinghua;LI Yabo;CHEN Yan;LU Binghong(Department of ENT,Jingjiang City People′s Hospital in Jiangsu Province,Jingjiang,Jiangsu,214500)

机构地区：[1]江苏省靖江市人民医院耳鼻咽喉科,江苏靖江214500

出　　处：《实用临床医药杂志》2020年第24期47-49,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察鼻内镜下低温等离子技术对儿童睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效。方法选择61例OSAHS患儿作为研究对象,按手术方法的不同分为观察组和对照组。观察组36例采用鼻内镜下低温等离子腺样体消融和扁桃体切除术治疗,对照组25例采用鼻内镜下电动切割器腺样体切除和高频电刀扁桃体切除术治疗。比较2组患儿手术时间、术中出血量、术后疼痛程度、术后再出血率和临床疗效。结果2组治疗总有效率均较高,差异无统计学意义(P>0.05);与对照组比较,观察组手术时间短,术中出血量少,术后疼痛程度轻,术后再出血率低,差异有统计学意义(P<0.05或P<0.01)。结论鼻内镜辅助下低温等离子技术治疗儿童OSAHS疗效显著,且具有手术时间短、术中出血量少、术后疼痛轻、并发症少、恢复快等优点。Objective To observe the clinical efficacy of low-temperature plasma technique under nasal endoscopy in treatment of children with obstructive sleep apnea-hypopnea syndrome(OSAHS).Methods A total of 61 OSAHS cases with surgical treatment were divided into observation and control groups according to different surgical methods.The observation group(n=36)received nasal endoscopic low-temperature plasma radiofrequency ablation,while the control group(n=25)received endoscopic adenoidectomy with electric cutter and tonsillectomy with high frequency electric cutter.Surgery time,intraoperative blood loss,pain degree,postoperative re-bleeding rate and the clinical efficacy of two groups were compared.Results The total effective rates were higher in both groups,but the differences were not statistically significant(P>0.05).Compared with the control group,the observation group had significantly shorter operation time,less intraoperative blood loss and postoperative pain,and lower postoperative re-bleeding rate(P<0.05 or P<0.01).Conclusion Nasal endoscopic low-temperature plasma technique is effective in treatment of OSAHS in children,and it has the advantages of short operation time,less intraoperative blood loss as well as postoperative pain,fewer complications,and quicker recovery.

关 键 词：低温等离子 鼻内镜 儿童 睡眠呼吸暂停低通气综合征 

分 类 号：R766[医药卫生—耳鼻咽喉科] R765[医药卫生—临床医学]