鼻内镜下电动切割器治疗腺样体肥大36例

目的：探讨鼻内镜下电动切割器治疗腺样体肥大的临床疗效。方法将36例接受腺样体切除术治疗腺样体肥大的患者根据随机数字表法分为观察组与对照组，观察组采用鼻内镜下电动切割器治疗，对照组则采用传统腺样切除术治疗，比较两组治疗效果。结果观察组彻底切除腺样体所需时间为（10.65±2.38）min，术中出血量（28．82±0．98）mL，并发症发生率为0．00％，与对照组比较差异均有统计学意义（t＝25.93、31．79，χ2＝3．92，均P＜0．05）；观察组重度疼痛1例，低于对照组的9例（χ2＝8．86，P＜0．05）；观察组总有效率为94．45％，显著高于对照组的55．55％（χ2＝7．26，P＜0．05）。结论相比于传统腺样体切除术治疗，采用鼻内镜下电动切割器治疗腺样体肥大能在显著减小术中出血量及并发症发生率的同时改善患者疼痛感，提高临床疗效，值得在临床上进一步推广。

Endoscopic electric cutters in the treatment of 36 cases of adenoidal hypertrophy

Objective To explore the efficacy of endoscopic electric cutters in the treatment of adenoidal hypertrophy .Methods 36 patients who underwent adenoidectomy treatment of adenoid hypertrophy were divided into the observation group and control group according to the random number table .The observation group was taken endo-scopic electric cutters treatment , the control group was taken traditional adenoid removal treatment .The therapeutic effect of the two groups was compared .Results In the observation group,the total time required for removal of the adenoids was （10.65 ±2.38）min,blood loss was （28.82 ±0.98）mL,compared with the control group,there were significant differences（t=25.93,31.79,χ2 =3.92,all P〈0.05）.In the observation group,there was 1 case had severe pain,but in the control group,there were 9 cases,the difference was significant （χ2 =8.86,P〈0.05）.In the observation group,the total effective rate was 94.45%,which was significantly higher than 55.55% in the control group（χ2 =7.26,P〈0.05）.Conclusion Compared to the traditional treatment of adenoid surgery ,electric cutters endoscopic treatment can significantly reduce adenoidal hypertrophy blood loss and the incidence rate of complication , improve patients＇pain and clinical outcomes ,it is worth clinically further promotion .