摘要
目的比较低温等离子消融联合腺样体切除术与剥离术治疗鼾症患者的临床效果。方法选取2013年6月至2015年2月于我院择期手术治疗的68例鼾症患者,按就诊顺序编号,随机分为对照组和观察组,各34例。对照组采用常规剥离术治疗,观察组则采用低温等离子消融术联合腺样体切除术治疗,2组术后均随访6个月,比较不同手术方式对鼾症患者临床症状及预后的改善情况。结果观察组治疗总有效率为97.06%,高于对照组的82.35%,差异有统计学意义(P<0.05);观察组术后VAS疼痛分级较低,其正常所占比例为50.00%,高于对照组的11.76%,而对照组中、重度所占比例分别为44.12%、14.71%,均高于观察组,2组比较差异有统计学意义(P<0.05);观察组术后出血发生率为2.94%,低于对照组,但其高热发生率高于对照组,差异均有统计学意义(P<0.05);术后、末次随访观察组OSA-18评分明显降低,分别为(46.66±7.87)分、(33.47±10.59)分,降低幅度高于对照组,差异有统计学意义(P<0.05)。结论采用低温等离子射频消融术联合腺样体切除术治疗鼾症患者,可提高手术治疗效果,减轻患者术后疼痛,降低患者术后出血发生率,优化患者生活质量,改善其预后。
Objective To compare the clinical effects of low-temperature plasma ablation combined with adenoidectomy and decollement in the treatment for patients with sleep apnea syndrome. Methods Totally 68 patients with sleep apnea syndrome who underwent elective surgical treatment in our hospital from June 2013 to February 2015 were selected as the study objects. According to the order of treatment,the patients were randomly divided into the control group and the observation group,with 34 cases in each group. The control group were treated by routine decollement. The observation group were treated by low-temperature plasma ablation combined with adenoidectomy. After operation,the 2 groups were followed up for 6 months. The improvement effects of different operative methods in clinical symptoms and prognosis of patients with sleep apnea syndrome were compared. Results The total effective rate in the observation group（97. 06%） was higher than that in the control group（82. 35%）,and the difference was statistically significant（ P 0. 05）. The postoperative VAS pain grading of the observation group was relatively lower. The normal proportion（ 50. 00%） was significantly higher than that in the control group（11. 76%）. Patients with moderate and severe pain in the control group accounted for 44. 12% and 14. 71% respectively,which were significantly higher than those in the observation group（ P 0. 05）. The incidence of postoperative bleeding in the observation group（2. 94%） was significantly lower than that in the control group while the incidence of fever was higher than that in the control group（ P 0. 05）. After operation and at the end of the follow-up,OSA-18 score of the observation group decreased significantly and were（46. 66 ± 7. 87） and（33. 47 ±10. 59） respectively. The decreased range was greater than those in the control group（ P 0. 05）. Conclusion To adopt low-temperature plasma radiofrequency ablation combined with adenoidectomy in the treatment of patients with sleep apnea syndrome can improve the surgical treatment effect,reduce postoperative pain,reduce the incidence of postoperative bleeding,optimize patients＇ quality of life and improve the prognosis.
出处
《局解手术学杂志》
2016年第5期364-367,共4页
Journal of Regional Anatomy and Operative Surgery
关键词
鼾症
剥离术
腺样体切除术
低温等离子消融术
症状
sleep apnea syndrome
decollement
adenoidectomy
low-temperature plasma ablation
symptom
