联合包膜内外扁桃体等离子切除术、腭咽弓转粘膜瓣缝合腭咽成型术、腺样体等离子轮廓化切除治疗大儿童鼾症的疗效分析  

Efficacy Analysis of Combined Intra-and Extra Capsular Tonsillectomy,Palatopharyngeal Arch to Mucosal Flap Suture Palatopharyngoplasty,and Adenoid Plasma Resection in the Treatment of Snoring in Older Children

作　　者：李成 吴委兰 黄晓莲 黎玉婵 温柏林 LI Cheng;WU Weilan;HUANG Xiaolian;LI Yuchan;WEN Bolin(Department of Otolaryngology Head and Neck Surgery,Maoming Hospital of Traditional Chinese Medicine,Maoming 525000,Guangdong,China)

机构地区：[1]茂名市中医院耳鼻咽喉头颈外科,广东茂名525000

出　　处：《系统医学》2024年第18期151-154,共4页Systems Medicine

基　　金：茂名市科技计划项目(230519104559148)。

摘　　要：目的探讨联合包膜内外扁桃体等离子切除术、腭咽弓转粘膜瓣缝合腭咽成型术、腺样体等离子轮廓化切除治疗大儿童鼾症的疗效。方法非随机选取2022年3月—2024年4月茂名市中医院收治的60例大儿童鼾症患儿作为研究对象,按治疗方法不同分为两组,各30例。对照组采用扁桃体包膜外等离子切除术与腺样体等离子消融术进行治疗,观察组采用包膜内外扁桃体等离子切除术、腭咽弓转粘膜瓣缝合腭咽成型术、腺样体等离子轮廓化切除进行联合治疗。对比两组手术指标、通气功能和睡眠质量、临床疗效、并发症发生情况。结果观察组术后疼痛时间、手术时间、住院时间、术中出血量均低于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组睡眠呼吸暂停低通气指数低于对照组,睡眠质量高于对照组,差异有统计学意义(P均<0.05)。观察组疗效为100%(30/30),高于对照组的83.33%(25/30),差异有统计学意义(χ^(2)=5.454,P<0.05)。观察组并发症发生率为3.33%(1/30),低于对照组的20.00%(6/30),差异有统计学意义(χ^(2)=4.043,P<0.05)。结论采用包膜内外扁桃体等离子切除术、腭咽弓转粘膜瓣缝合腭咽成型术、腺样体等离子轮廓化切除联合治疗大儿童鼾症患儿,可改善患儿临床症状及相关手术指标,临床治疗效果较为理想且安全性较高,值得借鉴。Objective To investigate the efficacy of combined intra-and extra-capsular tonsil plasma resection,velopharyngeal arch to mucosal flap suture velopharyngeal plasty,and adenoid plasma contouring resection in the treatment of snoring in older children.Methods From March 2022 to April 2024,sixty children with snoring in Maoming Hospital of Traditional Chinese Medicine were non-randomly selected as the research objects.According to the different treatment methods,they were divided into two groups,thirty cases in each group.The control group was treated with tonsil extracapsular plasma resection and adenoid plasma ablation.The observation group was treated with tonsil plasma resection inside and outside the capsule,velopharyngeal arch to mucosal flap suture velopharyngeal molding,adenoid plasma contouring resection for combined treatment.The surgical indexes,ventilation function,sleep quality,clinical efficacy and complications were compared between the two groups.Results The postoperative pain time,operation time,hospitalization time and intraoperative blood loss in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the sleep apnea hypopnea index of the observation group was lower than that of the control group,and the sleep quality was higher than that of the control group,the differences were statistically significant(both P<0.05).The observation group had higher curative effect as 100%(30/30)than 83.33%(25/30)in the control group,and the difference was statistically significant(χ^(2)=5.454,P<0.05).The incidence of complications in the observation group was 3.33%(1/30)lower than 20.00%(6/30)in the control group,the difference was statistically significant(χ^(2)=4.043,P<0.05).Conclusion The combination of tonsil plasma resection inside and outside the capsule,velopharyngeal arch to mucosal flap suture velopharyngeal plasty,adenoid plasma contouring resection in the treatment of snoring patients in large children can improv

关 键 词：联合包膜内外扁桃体等离子切除术 腭咽弓转粘膜瓣缝合腭咽成型术 腺样体等离子轮廓化切除 大儿童鼾症 

分 类 号：R720.5[医药卫生—儿科]