摘要
目的分析低温等离子辅助下儿童腺样体、扁桃体手术的临床疗效及并发症。方法选取我院2010年1月到2014年1月间收治的2089例低温等离子腺样体、扁桃体手术患儿(观察组),同时选取该时期的684例传统剥离法切除扁桃体、刮匙法刮除腺样体手术患儿(对照组),对比两组患儿手术时间、术中出血量、术后疼痛时间以及假膜脱落时间,并分析两组患儿并发症情况。结果观察组患儿手术时间、术中出血量均显著优于对照组(P<0.05),但术后疼痛时间以及假膜脱落时间无明显差异(P>0.05)。此外观察组患儿有335例出现发热,281例出现术中出血,89例出现急性喉梗阻并发症;而对照组有108例发热,90例术中出血,30例急性喉梗阻,两组患儿相关并发症率差异无统计学意义(P>0.05)。结论低温等离子辅助下儿童腺样体、扁桃体手术是一种有效的儿童腺样体、扁桃体肥大治疗术式,其在手术时间、术中出血等方面显著由于传统剥离法切除扁桃体、刮匙法刮除腺样体手术,且该种术式并发症率与传统手术近似。
Objective To analyze the low-temperature plasma-assisted children adenoids,tonsils clinical efficacy and complications of surgery. Methods Hospital between January 2010 to January 2014 were treated 2089 cases low-temperature plasma adenoids, tonsil surgery in children （observation group）,and select the period 684 cases of traditional dissection tonsil ectomy,curette law surgical curettage adenoids in children （control group）,compared two groups of children operative time,blood loss,postoperative pain,and pseudomembranous time off time,and to analyze the two groups of children with complications. Results There were children operative time, blood loss were significantly better than the control group （P〈0.05）, but no significant difference （P postoperative pain time and pseudomembranous off time〉0.05）. In addition there are 335 cases of children with the observation group fever, 281 cases of bleeding, 89 cases of acute laryngeal obstruction complications;while the control group had 108 cases of fever, 90 cases of bleeding, 30 cases of acute laryngeal obstruction, two groups of patients child-related complication rate was no significant difference （P〉 0.05）. Conclusion The low temperature plasma assisted children adenoids, tonsils surgery is an effective children＆#39;s adenoids, tonsils surgical treatment, which was significantly due to the traditional stripping method tonsil ectomy, curette scraping method in operative time, blood loss, etc. In addition to adenoid surgery, and the kinds of surgical complication rate with traditional surgery approximation.
出处
《中国卫生标准管理》
2014年第20期121-123,共3页
China Health Standard Management
关键词
低温等离子
儿童腺样体、扁桃体手术
并发症
Low-temperature plasma
Children＆#39
s adenoid、Tonsils surgery
Complication
