鼻内镜下低温等离子刀扁桃体部分切除术联合腺样体切除术治疗儿童OSAHS的疗效分析.pdfVIP

Chin J Otorhinolaryngol Integ Med 2015.Vol.23.No.4 287 doi:10.16542/ki.issn.1007-4856.2015.04.0 14 鼻内镜下低温等离子刀扁桃体部分切除术联合腺样体 切除术治疗儿童 OSAHS 的疗效分析 汪普 1 李勇 2 【摘要 】 目的 观察鼻内镜下低温等离子刀扁桃体部分切除术联合腺样体切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合 征的疗效。 方法 2011 年 2 月～2013 年 7 月收治的 96 例儿童阻塞性睡眠呼吸暂停低通气综合征患儿随机分成两组。 观察组患 者于鼻内镜下行低温等离子刀扁桃体部分切除术联合腺样体切除术， 对照组采用双侧扁桃体剥离术联合动力切割系统切除腺 样体。 观察两组术中及术后情况， 比较分析两组疗效。 结果 观察组较对照组手术时间短，术中出血量少 ，术后疼痛轻 。 术后 6 月 PSG 检测显示 2 组临床症状均显著缓解 。 结 论 鼻内镜下低温等离子刀扁桃体部分切除术联合腺样体切除术是治疗儿童 OSAHS 的有效方法,值得临床推广。 【关键词 】睡眠呼吸暂停低通气综合征；扁桃体部分切除术；腺样体切除术；低温等离子刀手术；疗效 Partial tonsillectomy by low temperature plasma ablation combined with adenoidectomy under nasal endoscope for children with OSAHS WANG Pu, LI Yong Department of Otolaryngology, Fuyang Municipal Peoples Hospital, Zhejiang, 311400, China 【Abstract 】Objective To investigate the therapeutic effect of partial tonsillectomy by low temperature plasma radiofrequency ablation for partial tonsillectomy combined with adenoidectomy under nasal endoscope for children with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods Ninety six children cases with OSAHS, treated in our Hospital from Feb. 2011 to July 2013, were randomly divided into two groups. The cases in treatment group (TG) were treated by an operation with low temperature plasma ablation to do partial tonsillectomy combined adenoidectomy under nasal endoscope, while those in control group (CG)were treated by tonsillectomy by routine decollement and adenoidectomy with dynamic cutting system. Observation was made about the performance in surgical process and post -operative recovery situation, and then, the therapeutic effects were analyzed between them in a comparative way by the end of following up period lasted