扁桃体摘除联合内镜下腺样体切除术在临床中的应用研究  

Study on the Clinical Application of Tonsillectomy Combined with Endoscopic Adenoidectomy

作　　者：李清 LI Qing(Department of Ophthalmology,Otolaryngology,Shangli County People's Hospital,Shangli 337009,Jiangxi,China)

机构地区：[1]上栗县人民医院眼耳鼻喉科,江西上栗337009

出　　处：《医学信息》2024年第19期74-77,共4页Journal of Medical Information

摘　　要：目的 探讨扁桃体摘除联合内镜下腺样体切除术在临床中的应用。方法 选取2020年8月-2023年8月在我院诊治的50例患者为研究对象,采用随机数字表法分为对照组24例和观察组26例。对照组采用等离子下内镜下腺样体切除术,观察组采用等离子下内镜下腺样体切除术+腺样体切除术治疗,比较两组临床手术指标(手术时间、术中出血量、住院时间)、疼痛评分(VAS)、临床症状评分(术区肿胀、打鼾、张口呼吸)、腺样体残留率、并发症发生率、复发率。结果 观察组手术时间、术中出血量、住院时间均大于对照组(P<0.05);观察组术后6 h的VAS评分高于对照组(P<0.05);观察组术后2、5 d的VAS评分与对照组比较,差异无统计学意义(P>0.05);两组术区肿胀、打鼾、张口呼吸评分均低于治疗前,且观察组低于对照组(P<0.05);观察组腺样体残留率为3.85%,与对照组的4.16%比较,差异无统计学意义(P>0.05);观察组并发症发生率为3.85%,与对照组的4.16%比较,差异无统计学意义(P>0.05);随访3个月,观察组复发率为3.85%,低于对照组的15.38%(P<0.05)。结论 扁桃体摘除联合内镜下腺样体切除术在临床中应用效果确切,会延长手术和住院时间,增加出血量,但是可改善通气功能,降低复发率,且不会增加并发症和疼痛,值得临床应用。Objective To investigate the clinical application of tonsillectomy combined with endoscopic adenoidectomy.Methods A total of 50 patients who were diagnosed and treated in our hospital from August 2020 to August 2023 were selected as the research objects.They were divided into control group(24 patients)and observation group(26 patients)by random number table method.The control group was treated with plasma endoscopic adenoidectomy,and the observation group was treated with plasma endoscopic adenoidectomy+adenoidectomy.The clinical operation indexes(operation time,intraoperative blood loss,hospitalization time),pain score(VAS),clinical symptom score(swelling of the operation area,snoring,mouth breathing),adenoid residual rate,complication rate and recurrence rate were compared between the two groups.Results The operation time,intraoperative blood loss and hospitalization time of the observation group were higher than those of the control group(P<0.05).The VAS score of the observation group at 6 h after operation was higher than that of the control group(P<0.05),while there was no significant difference in VAS score between the observation group and the control group at 2 and 5 days after operation(P>0.05).The scores of swelling,snoring and mouth breathing in the two groups were lower than those before treatment,and those in the observation group were lower than the control group(P<0.05).The residual rate of adenoid in the observation group was 3.85%,which was compared with 4.16%in the control group,the difference was not statistically significant(P>0.05).The incidence of complications in the observation group was 3.85%,which was compared with 4.16%in the control group,the difference was not statistically significant(P>0.05).After 3 months of follow-up,the recurrence rate of the observation group was 3.85%,which was lower than 15.38%of the control group(P<0.05).Conclusion Tonsillectomy combined with endoscopic adenoidectomy is effective in clinical application.It will prolong the operation and hospitalization time a

关 键 词：扁桃体摘除 内镜下腺样体切除术 并发症 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]