ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (1): 39-.

• 临床研究 • 上一篇    下一篇

等离子扁桃体切除术治疗儿童鼾症的疗效观察

王军旗，马明瑛，芦二永   

  1. 471000 河南 洛阳，河南科技大学第一附属医院耳鼻咽喉-头颈外科
  • 出版日期:2021-02-25 发布日期:2021-05-17
  • 通讯作者: 王军旗，E-mail：zhuancuooo08@163.com
  • 作者简介:王军旗（1983-），男，医学硕士，主治医师。研究方向：耳鼻咽喉疾病的诊治

Clinical effect of coblation tonsillectomy on children with obstructive sleep apnea syndrome versus conventional dissection tonsillectomy

WANG Junqi，MA Mingying，LU Eryong   

  1.  Department of Otorhinolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000,China
  • Online:2021-02-25 Published:2021-05-17

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摘要： 目的:探讨低温等离子扁桃体切除术与常规扁桃体剥离术对儿童鼾症患者的影响。
方法:选取我科2019年7~11月入院的儿童阻塞性睡眠型呼吸暂停综合征患儿146例为研究对象，随机分为观察组76例与对照组70例。所有患儿均行扁桃体切除，对照组采用常规剥离，观察组采用等离子消融术，两组合并腺样体肥大的患儿均采用等离子消融术，上述操作由同一术者完成。比较双侧扁桃体切除所需时间以及术中出血量；比较术后1～4 d的咽痛情况；白膜完全脱落的时间以及两组患儿手术前后生活质量的改善程度。比较两组中单纯扁桃体切术与合并腺样体肥大术后咽痛情况及白膜脱落时间。
结果:观察组手术时间、术中出血量低于对照组，差异有统计学意义（P<0.05）；术后1 d观察组咽痛轻于观察组，术后4 d，单纯扁桃体咽痛轻于合并腺样体肥大，差异有统计学意义（P<0.05）；观察组白膜完全脱落时间较对照组长，差异有统计学意义（P<0.05）；术后生活质量改善程度比较差异无统计学意义（P>0.05）。
结论:等离子扁桃体切除术较常规扁桃体剥离术手术时间短，术中出血少，术后早期咽部不适症状较轻，应对复杂的扁桃体切除术具有明显的优势。

关键词: 鼾症, 等离子, 扁桃体切除术, 儿童

Abstract: Objective:To investigate the influence of the coblation tonsillectomy and conventional dissection tonsillectomy on children with obstructive sleep apnea syndrome.
Methods:A total of 146 children with obstructive sleep apnea syndrome were randomly divided into two groups: the observation group(n=76) and the control group(n=70). All patients underwent tonsillectomy: conventional dissection for control group and coblation for observation group. Children with adenoid hypertrophy in both groups were treated with Plasma ablation. The above operation was performed by the same operator. The time required and the amount of bleeding during operation were compared. Compare the postoperative sore throat, the time for the tunica to completely come off and the improvement in quality of life of the two groups before and after operation. Compare the sore throat and the time for the tunica to come off after the tonsillectomy with or without adenoid hypertrophy between the two groups.
Results:The observation group had a shorter operative time than the control group, and the average amount of introoperative bleeding （4.3±2.8）mL was less than that of the control group（P<0.05）.The observation group had a milder sore throat at 1 day after operation than control group. At 4 days after operation, the children with tonsillectomy had a milder sore throat than those with adenoid hypertrophy, there was statistically significant difference between the two groups(P<0.05). The time for the tunica to completely off in observation group was significantly longer than that in the control，and there was statistical difference(P<0.05). There was no significant difference in the improvement in postoperative quality of life.
Conclusion:Compared with conventional tonsillectomy, coblation tonsillectomy has shorter operation time, less intraoperative bleeding and milder symptoms of early postoperative pharynx discomfort, which has obvious advantages in dealing with complex tonsillectomy.

Key words: Obstructive sleep apnea syndrome, Coblation, Tonsillectomy, Children