微创等离子消融术在扁桃体腺样体肥大患者治疗中的应用及对其免疫能力及氧化应激水平的影响  

Application of Minimally Invasive Plasma Ablation in the Treatment of Patients with Tonsillar Adenoid Hypertrophy and the Impact on the Immune Function and Oxidative Stress Level

作　　者：李世伟[1] 田秀芬[1] 窦倩雯 Shiwei;TIAN Xiufen;DOU Qianwen(Depari Pharyngology,Head and Neck Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院咽喉头颈外科,河南郑州450052

出　　处：《临床医学工程》2024年第9期1043-1044,共2页Clinical Medicine & Engineering

摘　　要：目的探讨微创等离子消融术在扁桃体腺样体肥大患者治疗中的应用效果及对其免疫能力及氧化应激水平的影响。方法将100例扁桃体腺样体肥大患者随机分为两组各50例。对照组行扁桃体剥离术治疗,观察组行微创等离子消融术治疗。比较两组免疫功能、氧化应激指标与并发症风险。结果术后1个月,观察组CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)高于对照组(P<0.05)。术后,观察组SOD高于对照组,MDA低于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论微创等离子消融术在扁桃体腺样体肥大患者治疗中的应用效果较好,可加快患者术后免疫功能恢复,降低氧化应激风险和并发症发生率。Objective To explore the application effect of minimally invasive plasma ablation in the treatment of patients with tonsillar adenoid hypertrophy and the impact on the immune function and oxidative stress level.Methods 100 patients with tonsillar adenoid hypertrophy were randomly divided into two groups equally.The control group was treated with tonsillectomy,while the observation group was treated with minimally invasive plasma ablation.The immune function,oxidative stress indicators,and risk of complications were compared between the two groups.Results 1 month after surgery,the CD3^(+),CD4^(+)and CD4^(+)/CD8^(+)of the observation group were higher than those of the control group(P<0.05).After surgery,the SOD of the observation group was higher than that of the control group,while the MDA was lower than that of the control group(P<0.05).The incidence of complications in the observation group was 2.00%,lower than 14.00%in the control group(P<0.05).Conclusions Minimally invasive plasma ablation has better application effect in the treatment of patients with tonsillar adenoid hypertrophy,which can accelerate the recovery of postoperative immune function,reduce the risk of oxidative stress and the incidence of complications.

关 键 词：微创等离子消融术 扁桃体腺样体肥大 免疫功能 氧化应激 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]