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| 低温等离子辅助下儿童扁桃体全切除与部分切除的比较 | |
| 引用本文： | 沈瑶,周成勇. 低温等离子辅助下儿童扁桃体全切除与部分切除的比较[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 22-27. DOI: 10.6040/j.issn.1673-3770.1.2020.087 |
| 作者姓名： | 沈瑶 周成勇 |
| 作者单位： | 解放军总医院第四医学中心 耳鼻咽喉头颈外科/解放军总医院 耳鼻咽喉科头颈医学部/国家耳鼻咽喉疾病临床医学研究中心,北京100048 |
| 摘 要： | 目的 探讨应用低温等离子辅助下治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)时扁桃体全切除与部分切除的疗效比较.方法 回顾性分析应用等离子技术手术治疗的4311例儿童OSAHS患者病历资料.根据术式分为两组:A组358例,行低温等离子辅助下扁桃体全切除和腺样体切除术;B组3953例,行低温等离子辅助下扁桃体切部分... |
| 关 键 词： | 儿童 低温等离子 扁桃体部分切除术 扁桃体切除术 腺样体切除术 睡眠打鼾 睡眠憋气 |
Comparison of coblation assisted tonsillectomy and tonsillotomy in children |
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| SHEN Yao,ZHOU Chengyong. Comparison of coblation assisted tonsillectomy and tonsillotomy in children[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 22-27. DOI: 10.6040/j.issn.1673-3770.1.2020.087 | |
| Authors: | SHEN Yao ZHOU Chengyong |
| Affiliation: | Department of Otorhinolaryngology & Head and Neck Surgery, 4th Medical Center of PLA General Hospital / College of Otorhinolaryngology & Head and Neck Surgery, Chinese PLA General Hospital / National Clinical Research Center for Otolaryngologic Diseases, Beijing 100048, China |
| Abstract: | Objective To compare the efficacy of coblation assisted tonsillectomy and tonsillotomy in the treatment of children with obstructive sleep apnea-hypopnea syndrome. Methods This was a retrospective review of 4 311 children who underwent adenoidectomy and coblation assisted tonsillectomy or tonsillotomy in our hospital from January 2004 to December 2018. The patients were divided into two groups according to the operation method performed along with adenoidectomy: coblation assisted tonsillectomy was performed in 358 patients in group A, and coblation assisted tonsillotomy was performed in 3953 patients in group B. The operation time, degree of postoperative pain, number of days taken to return to normal eating, and incidence of secondary hemorrhage were compared. After 1 year follow-up, the recurrence rate and sleep snoring and suffocation scores were compared between the two groups. Results The operation time(28.42±9.51 minutes), degree of postoperative pain(2.67±0.75), number of days taken to return to normal eating(7.15±2.56 days), and incidence of secondary hemorrhage(0.15%)in group B were lower than those in group A, and the differences were statistically significant(t=9.841, P<0.01; t=30.251, P<0.01; t=31.489, P<0.01; χ2=13.224, P<0.01). There was a significant difference in sleep snoring scores before and after the operation in both the groups(group A: χ2=570.251, P<0.01; group B: χ2=6 767.566, P<0.001). There was also a significant difference in the suffocation scores before and after the operation in both the groups(group A: χ2=622.465, P<0.01; group B: χ2=6 293.219, P<0.001), but there were no significant differences in sleep snoring and suffocation scores between the two groups(F=4.643, P=0.075; F=5.335, P=0.060). Additionally, there was no significant difference in recurrence rate between the two groups(χ2=0.009, P=0.925). Conclusion The curative effect of tonsillotomy is similar to that of tonsillectomy, but it can shorten the operation time, improve the patient's postoperative comfort and reduce the incidence of secondary bleeding. |
| Keywords: | Child Coblation Tonsillotomy Tonsillectomy Adenoidectomy Sleep snoring Sleep suffocation |
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