低温等离子扁桃体全切和部分切除术治疗儿童阻塞性睡眠呼吸暂停综合征的疗效比较  

Comparison of the Efficacy of Low-temperature Plasma Tonsillectomy and Partial Tonsillectomy in the Treatment of Obstructive Sleep Apnea Syndrome in Children

作　　者：霍玉廷 刘云亮[1] 杨炀 HUO Yuting;LIU Yunliang;YANG Yang(Department of Otorhinolaryngology,Fujian Maternal and Child Health Hospital,Fuzhou 350000,Fujian,China)

机构地区：[1]福建省妇幼保健院耳鼻喉科,福建福州350000

出　　处：《中外医疗》2024年第19期1-5,共5页China & Foreign Medical Treatment

摘　　要：目的 探析低温等离子扁桃体全切和部分切除术对儿童阻塞性睡眠呼吸暂停综合征(Obstructive Sleep Apnea Syndrome, OSAS)的疗效。方法 回顾性选取2023年3—9月福建省妇幼保健院耳鼻喉科收治的196例OSAS患儿的临床资料,根据手术方式进行分组,对照组(行扁桃体全切术)104例、观察组(行扁桃体部分切除术)92例。对比两组手术时长、术中出血量,术后睡眠改善情况、术后疼痛、术后并发症发生率。结果观察组手术时长短于对照组,出血量少于对照组,差异有统计学意义(P均<0.05)。术后,两组打鼾和憋气的频率均降低,但两组比较,差异无统计学意义(P均>0.05)。观察组术后1、3 d的疼痛评分低于对照组,差异有统计学意义(P均<0.05)。观察组术后出血和发热的发生率分别为0、3.3%,低于对照组,差异有统计学意义(χ^(2)=4.616、5.558,P均<0.05)。两组上呼吸道感染率比较,差异无统计学意义(P>0.05)。结论 针对扁桃体伴腺样体肥大引起的儿童睡眠呼吸暂停综合征,与扁桃体全切术相比,低温等离子辅助扁桃体部分切除术术后效果无明显差异,并具有手术时间更短、出血量少、术后疼痛症状更轻微的优势。Objective To explore the effect of low temperature plasma tonsillectomy and partial tonsillectomy on ob-structive sleep apnea syndrome(OSAS)in children.Methods The clinical data of 196 children with OSAS admitted to the Department of Otorhinolaryngology in Fujian Maternal and Child Health Hospital from March to September 2023 were retrospectively selected and grouped according to the surgical methods.There were 104 cases in the control group(total tonsillectomy)and 92 cases in the observation group(partial tonsillectomy).The operation time,intraopera-tive blood loss,postoperative sleep improvement,postoperative pain and postoperative complication rate were com-pared between the two groups.Results The operation time of the observation group was shorter than that of the control group,and the amount of bleeding was less than that of the control group,and the differences were statistically signifi-cant(both P<0.05).After operation,the frequency of snoring and suffocation decreased in both groups,but there was no significant difference between the two groups(both P>0.05).The pain scores of the observation group at 1 day and 3 days after operation were lower than those of the control group,and the differences were statistically significant(both P<0.05).The incidence of postoperative bleeding and fever in the observation group were 0 and 3.3%,respectively,which were lower than those in the control group,and the differences were statistically significant(χ^(2)=4.616,5.558,both P<0.05).There was no statistically significant difference in the incidence of upper respiratory tract infection be-tween the two groups(P>0.05).Conclusion For children with OSAS caused by tonsil and adenoid hypertrophy,com-pared with total tonsillectomy,there was no statistically significant difference in the postoperative effect of low-temperature plasma-assisted partial tonsillectomy,and it had the advantages of shorter operation time,less blood loss and milder postoperative pain symptoms.

关 键 词：低温等离子 扁桃体肥大 腺样体肥大 扁桃体全切 扁桃体部分切除 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]