低温等离子射频消融术治疗儿童扁桃体腺样体肥大的效果  

Effects of low-temperature plasma radiofrequency ablation on tonsil adenoid hypertrophy in children

作　　者：郭帅 GUO Shuai(Department of Otorhinolaryngology of Anyang Maternal and Child Health Care Hospital,Anyang 455000 Henan,China)

机构地区：[1]安阳市妇幼保健院耳鼻咽喉科,河南安阳455000

出　　处：《中国民康医学》2023年第21期57-60,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨低温等离子射频消融术治疗儿童扁桃体腺样体肥大的效果。方法:回顾性分析2021年1月至2023年1月该院收治的112例扁桃体腺样体肥大患儿的临床资料,根据手术方式不同将患儿分为对照组和观察组各56例。对照组实施传统扁桃体、腺样体切除术,观察组实施低温等离子射频消融术,比较两组手术相关指标(术中出血量、手术时间、术后白膜形成时间、术后白膜脱落时间)水平、术后出血情况、疼痛[视觉模拟评分法(VAS)]评分及嗓音声学参数(基频、振幅微扰、基频微扰及噪谐比)水平。结果:观察组术中出血量少于对照组,手术时间、术后白膜形成时间均短于对照组,术后白膜脱落时间长于对照组,差异有统计学意义(P<0.05)。观察组术后原发性出血发生率、总出血率及术后1、3、7 d时的VAS评分均低于对照组,差异有统计学意义(P<0.05);术后1个月,观察组振幅微扰、基频微扰、噪谐比均低于对照组,差异有统计学意义(P<0.05);两组术后基频比较,差异无统计学意义(P>0.05)。结论:与传统切除术相比,低温等离子射频消融术治疗儿童扁桃体腺样体肥大可减少术中出血量,降低术后原发性出血率和总出血率,缩短手术时间,减轻疼痛程度,且在改善嗓音功能方面效果较好。Objective:To investigate effects of low-temperature plasma radiofrequency ablation on adenoidal hypertrophy in children.Methods:The clinical data of 112 children with tonsil adenoid hypertrophy admitted to this hospital from January 2021 to January 2023 were retrospectively analyzed.According to different surgical methods,these children were divided into control group and observation group,56 cases in each group.The control group was treated with traditional tonsillectomy and adenoidectomy,while the observation group was treated with lowtemperature plasma radiofrequency ablation.The operation-related indicator levels(intraoperative blood loss,operation time,postoperative tunica albuginea formation time,postoperative tunica albuginea shedding time),the postoperative bleeding,the pain[visual analogue scale(VAS)]score,and the voice acoustic parameter levels[fundamental frequency,amplitude perturbation,fundamental frequency perturbation and noise-harmonic ratio(NHR)]were compared between the two groups.Results:The intraoperative blood loss in the observation group was less than that in the control group,the operation time and the postoperative tunica albuginea formation time were shorter than those in the control group,the postoperative tunica albuginea shedding time was longer than that in the control group,and the differences were statistically significant(P<0.05).The incidence of primary bleeding,the total bleeding rate and the VAS scores 1,3 and 7 days after the surgery in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).1 month after the surgery,the amplitude perturbation,the fundamental frequency perturbation and the NHR values of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05);There was no significant difference in postoperative fundamental frequency between the two groups(P>0.05).Conclusions:Compared with convectional excision,low-temperature plasma radiofreque

关 键 词：低温等离子射频消融术 传统切除术 儿童 扁桃体腺样体肥大 嗓音 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]