低温等离子射频消融术治疗儿童扁桃体伴腺样体肥大57例临床观察  

Curative effect of low-temperature plasma radiofrequency ablation on 57 children with hypertrophy of tonsil and adenoid

作　　者：于博 任颖川[2] Yu Bo;Ren Yingchuan(Department of Otolaryngology,Pingdingshan Maternal and Children Health Care Hospital,Pingdingshan 467000,China;Department of Otolaryngology,Pingdingshan First People’s Hospital,Pingdingshan 467000,China)

机构地区：[1]平顶山市妇幼保健院耳鼻咽喉科,平顶山467000 [2]平顶山市第一人民医院耳鼻咽喉科,平顶山467000

出　　处：《中国实用医刊》2023年第13期54-56,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨低温等离子射频消融术治疗儿童扁桃体伴腺样体肥大的临床效果。方法回顾性抽取2020年11月至2022年11月于平顶山市妇幼保健院行低温等离子射频消融术治疗的扁桃体伴腺样体肥大患儿57例。分析其围术期指标、术后并发症,比较手术前后症状积分及最低血氧饱和度。结果57例患儿手术时间为(43.12±3.04)min,术中出血量为(3.14±1.31)ml,术后面部表情分级法评分为(3.05±0.41)分,鼻腔恢复通气时间为(1.84±0.35)d,住院时间为(5.13±0.95)d;术后发生继发性出血1例(1.75%),术后3 d鼻塞、打鼾、张口呼吸及咽痛的症状积分低于术前(P<0.05),术后最低血氧饱和度高于术前(t=15.86,P<0.05)。结论低温等离子射频消融术治疗儿童扁桃体伴腺样体肥大效果确切。ObjectiveTo investigate the curative effect of low-temperature plasma radiofrequency ablation on hypertrophy of tonsil and adenoid in children.MethodsA total of 57 children with hypertrophy of tonsil and adenoid treated by low-temperature plasma radiofrequency ablation in Pingdingshan Maternal and Children Health Care Hospital from November 2020 to November 2022 were selected retrospectively.The perioperative indicators and postoperative complications of them were analyzed.The symptom scores and minimum blood oxygen saturation of the two groups were compared before and after operation.ResultsThe operation time of the 57 children was(43.12±3.04)min,the intraoperative blood loss was(3.14±1.31)ml,the postoperative facial expression grading method score was 3.05±0.41,the nasal cavity recovery time was(1.84±0.35)days,and the hospital stay was(5.13±0.95)days.There was 1 case(1.75%)secondary bleeding after operation.Three days after operation,the symptom scores of nasal tampon,snoring,mouth breathing and pharyngalgia were lower than those before operation(P<0.05).The lowest blood oxygen saturation after operation was higher than that before operation(t=15.86,P<0.05).ConclusionsLow-temperature plasma radiofrequency ablation is effective in the treatment of hypertrophy of tonsil and adenoid in children.

关 键 词：腭扁桃体 腺样体 鼻塞 低温等离子射频消融术 

分 类 号：R766[医药卫生—耳鼻咽喉科]