鼻内镜下两种不同手术方式治疗儿童腺样体肥大78例疗效比较

目的：探讨鼻内镜下两种不同手术方式治疗儿童腺样体肥大的临床效果。方法将我院2011年3月~2013年3月收治的78例儿童腺样体肥大的患者随机分为两组，A组采用鼻内镜下电动切割器行腺样体切除术，B组采用鼻内镜下等离子ENT射频消融系统对腺样体行低温射频消融切除术。比较两组患儿术后发热、出血、鼻腔恢复正常通气时间以及并发症发生情况。结果两组患儿经治疗后临床症状完全缓解，B组在术后发热、出血、鼻腔恢复正常通气时间以及并发症等方面均优于A组，差异有统计学意义（P＜0.05）。结论鼻内镜下儿童腺样体肥大的患者行低温等离子射频消融切除术较行电动切割器腺样体切除术损伤小、出血少、预后好，值得临床上广泛应用。

Comparison of curative effect of two different operation ways under nasal endoscopy in the treatment of 78 children with adenoidal hypertrophy

Objective To explore the clinical effect of two different operation ways under nasal endoscopy in the treatment of children with adenoidal hypertrophy. Methods 78 children with adenoidal hypertrophy were collected in our hospital during March 2011 to March 2013, and randomly divided into the two groups, the group A was treated with the adenoidectomy by electric cutter under nasal endoscopy, the group B was treated with the adenoidal low-temperature radiofrequency ablation excision by ENT plasma radiofrequency ablation system under nasal endoscopy. The postoperative fever, bleeding, nasal normal ventilation time and incidence of complications of children in the two groups were compared. Results The clinical symptoms of children in the two groups were completely relieved after treatment, the postoperative fever, bleeding, nasal normal ventilation time and complications in the group B were better than those in the group A, there were statistically significant differences（P〈0.05）. Conclusion Compared with adenoidectomy by electric cutter, the low-temperature plasma radiofrequency ablation excision for children with adenoidal hypertrophy under nasal endoscopy has less injury, less bleeding, better prognosis, and is worthy of clinical application.