鼻内镜下低温等离子腺样体切除术治疗儿童慢性鼻窦炎伴腺样体肥大的疗效分析  

Effect analysis of endoscopic low-temperature plasma adenoidectomy in the treatment of chronic rhinosinusitis with adenoid hypertrophy in children

作　　者：王远明[1] 李洁 程陈 李楚凌[1] WANG Yuan-ming;LI Jie;CHENG Chen(Department of Otolaryngology,Head and Neck Surgery,Dongguan Maternal and Child Health Hospital,Dongguan 523000,China)

机构地区：[1]东莞市妇幼保健院耳鼻咽喉头颈外科,523000

出　　处：《中国实用医药》2023年第19期40-44,共5页China Practical Medicine

基　　金：东莞市社会发展科技项目(项目编号:20211800901332)。

摘　　要：目的探讨鼻内镜下低温等离子腺样体切除术治疗儿童慢性鼻窦炎(CRS)伴腺样体肥大的临床疗效。方法200例CRS伴腺样体肥大患儿,随机分为对照组与手术组,各100例。对照组给予药物+鼻腔冲洗治疗,手术组予以鼻内镜下低温等离子腺样体切除术+药物治疗。比较两组患儿不同时间段治疗效果、症状评分、鼻内镜评分、鼻窦CT评分。结果治疗3、6、12个月,手术组症状评分分别为(6.25±1.84)、(4.19±1.58)、(4.17±1.45)分,均低于对照组的(8.49±1.64)、(6.11±1.90)、(5.98±1.68)分,差异有统计学意义(P<0.05)。治疗3、6、12个月,手术组鼻内镜评分分别为(3.02±0.62)、(2.75±0.52)、(1.90±0.36)分,均低于对照组的(4.07±0.56)、(3.56±0.54)、(3.02±0.44)分,差异有统计学意义(P<0.05)。治疗6个月,手术组鼻窦CT评分(4.50±1.35)分低于对照组的(7.25±1.41)分,差异有统计学意义(P<0.05)。治疗3、6、12个月,手术组治疗总有效率分别为92.00%、95.00%、96.00%,均高于对照组的80.00%、79.00%、78.00%,差异有统计学意义(P<0.05)。结论鼻内镜下低温等离子腺样体切除术联合药物治疗儿童CRS伴腺样体肥大的疗效优于单独药物治疗,可有效提高缓解患儿的临床症状,是值得推荐的治疗方法。Objective To discuss the clinical efficacy of endoscopic low-temperature plasma adenoidectomy in the treatment of chronic rhinosinusitis(CRS)with adenoid hypertrophy in children.Methods A total of 200 cases of CRS with adenoid hypertrophy were randomly divided into the control group and the surgery group,with 100 cases in each group.The control group was treated with drug+nasal irrigation,and the surgery group was treated with endoscopic low-temperature plasma adenoidectomy+drug therapy.The therapeutic effect,symptom score,score of nasal endoscope and sinus CT score were compared between the two groups in different time periods.Results After 3,6 and 12 months of treatment,the symptom scores of the surgery group were(6.25±1.84),(4.19±1.58)and(4.17±1.45)points,which were lower than those of(8.49±1.64),(6.11±1.90)and(5.98±1.68)points of the control group,and the differences were statistically significant(P<0.05).After 3,6 and 12 months of treatment,the scores of nasal endoscopy in the surgery group were(3.02±0.62),(2.75±0.52)and(1.90±0.36)points,which were lower than those of(4.07±0.56),(3.56±0.54)and(3.02±0.44)points in the control group,and the differences were statistically significant(P<0.05).After 6 months of treatment,the sinus CT score of(4.50±1.35)points in the surgery group was lower than that of(7.25±1.41)points in the control group,and the difference was statistically significant(P<0.05).After 3,6 and 12 months of treatment,the total effective rate of the surgery group were 92.00%,95.00%and 96.00%,which were higher than those of 80.00%,79.00%and 78.00%of the control group,and the difference were statistically significant(P<0.05).Conclusion Endoscopic low-temperature plasma adenoidectomy combined with drug therapy in the treatment of CRS with adenoid hypertrophy in children is superior to drug therapy alone,which can effectively alleviate the clinical symptoms of children,and is a recommended treatment method.

关 键 词：儿童慢性鼻窦炎 腺样体肥大 鼻内镜 低温等离子腺样体切除术 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]