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1、海南医学2015年7月第26卷第13期HainanMedJ,Jul.2015,Vol.26,No.13doi:10.3969/j.issn.1003-6350.2015.13.0713·临床经验·鼻内镜下低温等离子消融术治疗腺样体肥大43例临床分析黄辉，钟晓燕，廖艳萍(惠州市中心人民医院耳鼻咽喉头颈外科，广东惠州516001)【摘要】目的观察鼻内镜下低温等离子消融术治疗腺样体肥大的临床效果。方法选择我院收治的86例腺样体肥大患者为研究对象，随机将其分为对照组和观察组，每组各43例。对照组采用鼻内镜下腺样体吸切术治疗，观察组采用鼻内镜下低温等离子消融术治疗。比较两组患者的手术情
2、况、治疗效果、随访复发和并发症发生情况。结果观察组患者的住院时间(6.0±1.2)d、术中出血量(57.2±3.1)ml，均明显少于对照组的(9.5±1.3)d和(72.4±3.4)ml，差异均有统计学意义(P<0.05)；观察组的治疗总有效率为93.0%，与对照组的88.4%比较，差异无统计学意义(P>0.05)；观察组患者腺样体肥大复发率为0，腺样体术后残留率为2.3%，对照组腺样体肥大复发率为2.3%，腺样体术后残留率为4.7%，差异均无统计学意义(P>0.05)。结论鼻内镜下低温等离子消融术治疗腺样体肥大临床效果佳，并发症少，值得临床推广应用。【关键词】鼻内镜；低温；
3、等离子；腺样体切除术；腺样体肥大【中图分类号】R765.9【文献标识码】A【文章编号】1003—6350（2015）13—1974—03Clinicaleffectofendoscopiclow-temperatureplasmaradiofrequencyinthetreatmentof43casesofadenoidhypertrophy.HUANGHui,ZHONGXiao-yan,LIAOYan-ping.DepartmentofOtolaryngologyHeadandNeckSurgery,HuizhouMunicipalCentralHospital,Huizh
4、ou516001,Guangdong,CHINA【Abstract】ObjectiveToobservetheclinicaleffectofthelow-temperatureplasmaendoscopicadenoidec-tomyinthetreatmentofadenoidhypertrophy.MethodsEighty-sixpatientswithadenoidhypertrophywereran-domlydividedintocontrolgroupandobservationgroup,with43casesineachgroup.Thecontrolg
5、roupadoptedthenasalendoscopicadenoidectomy,whiletheobservationgroupusedlow-temperatureplasmaendoscopicadenoidecto-my.Thesituationofsurgery,therapeuticeffect,follow-uprecurrenceandcomplicationsofthetwogroupswereob-served.ResultsThelengthofhospitalstayandintraoperativebloodlossintheobservatio
6、ngroupweresignificantlylessthanthoseinthecontrolgroup,(6.0±1.2)dvs(9.5±1.3)dand(57.2±3.1)mlvs(72.4±3.4)ml,P<0.05.Thetotaleffectiverate(93.0%)intheobservationgroupshowednostatisticallysignificantdifferencewiththatinthecontrolgroup(88.4%),withP>0.05.Therecurrencerateofadenoidhypertrophyandthe
7、rateofpostoperativeresidualade-noidbodywere0%and2.3%intheobservationgroup,2.3%and4.7%inthecontrolgroup,withnostatisticallysignif-icantdifferencebetweenthetwogroups(P>0.05).ConclusionLow-temperatureplasmaendoscopicadenoidectomyinthetreatmentofadenoidhyper
