低温等离子射频消融术对扁桃体炎合并腺样体肥大患儿临床效果及术中出血量的影响  

Clinical Effect and Intraoperative Blood Loss of Low Temperature Plasma Radiofrequency Ablation in Children with Tonsillitis and Adenoid Hypertrophy

作　　者：方峥嵘 秦龙全 赵午东 李义森 周维镕 FANG Zhengrong;QIN Longquan;ZHAO Wudong;LI Yisen;ZHOU Weirong(Department of Otolaryngology and Head and Neck Surgery,Rich Hospital Affiliated to Nantong University,Nantong,Jiangsu Province,226010 China)

机构地区：[1]南通大学附属瑞慈医院耳鼻咽喉头颈外科,江苏南通226010

出　　处：《中外医疗》2022年第9期86-89,共4页China & Foreign Medical Treatment

摘　　要：目的分析低温等离子射频消融术在扁桃体炎合并腺样体肥大治疗中的作用。方法方便选取该院2017年1月—2020年12月收治的80例扁桃体炎合并腺样体肥大患儿为研究对象,通过投掷六面骰子的方法对患儿进行均分处理。对照组40例,接受常规扁桃体剥离术,观察组40例,实施低温等离子射频消融术,对比两组临床疗效、围术期指标、手术前后疼痛程度和并发症发生率。结果观察组总有效率为95.00%,高于对照组的77.50%;观察组手术时间、切口愈合时间和住院时间为(44.18±4.45)min、(3.92±1.16)d和(6.18±1.78)d,短于对照组的(60.12±7.32)min、(7.15±1.24)d和(10.12±2.32)d;观察组术中出血量为(16.24±3.12)mL,少于对照组;观察组并发症发生率为2.50%,与对照组比较更低,两组比较差异有统计学意义(χ^(2)=5.164;t=11.768、12.031、8.522、15.473;χ^(2)=4.507,P<0.05);患儿术前疼痛程度比较,差异无统计学意义(P>0.05),经过手术治疗,两组咽部异物感和喉部嗓音疼痛程度评分下降,差异有统计学意义(P<0.05),比较两组术后疼痛评分,差异有统计学意义(P<0.05)。结论予以扁桃体炎合并腺样体肥大患儿低温等离子射频消融术,效果明显,出血量少,术后恢复快,疼痛程度轻,防范并发症作用明显,有推广价值。Objective To analyze the effect of low temperature plasma radiofrequency ablation in the treatment of tonsillitis complicated with adenoid hypertrophy.Methods Conveniently selected from January 2017 to December 2020,80 patients with tonsillitis and adenoid hypertrophy were enrolled in the hospital as research subjects,and the patients were equally divided by throwing six-sided dice.40 cases in the control group received conventional tonsillectomy,and 40 cases in the observation group received low-temperature plasma radiofrequency ablation.The clinical efficacy,perioperative indicators,pain degree before and after surgery,and complication rates were compared between the two groups.Results The total effective rate in the observation group was 95.00%,which was higher than 77.50%in the control group;the operation time,incision healing time and hospital stay in the observation were(44.18±4.45)min,(3.92±1.16)d and(6.18±1.78)d,which were shorter than the control group(60.12±7.32)min,(7.15±1.24)d and(10.12±2.32)d;the intraoperative blood loss in the observation group was(16.24±3.12)mL,which was less than that in the control group;the complication rate in the observation was 2.50%,which was lower than that of the control group,and the difference between the two groups was statistically significant(χ^(2)=5.164;t=11.768,12.031,8.522,15.473;χ^(2)=4.507,P<0.05).There was no statistically significant difference in the preoperative pain degree of the patients(P>0.05);after surgical treatment,the scores of foreign body sensation in the pharynx and throat pain in the two groups decreased,and the difference was statistically significant(P<0.05).There were statistically significant differences in postoperative pain scores between the two groups(P<0.05).Conclusion Low-temperature plasma radiofrequency ablation for patients with tonsillitis and adenoid hypertrophy has obvious effect,less blood loss,faster postoperative recovery and less pain.The effect of preventing complications is obvious and has promotion value.

关 键 词：低温等离子射频消融术 扁桃体炎合并腺样体肥大 临床疗效 疼痛程度 并发症 

分 类 号：R473[医药卫生—护理学]