| 徐烨星 陈金辉 章薇 李芬 罗志宏 陶泽璋△.等离子刀扁桃体部分切除术联合腺样体射频消融术治疗儿童鼾症的
短期疗效研究[J].,2017,17(6):1048-1052 |
| 等离子刀扁桃体部分切除术联合腺样体射频消融术治疗儿童鼾症的
短期疗效研究 |
| Research on the Short-termEffect of Partial Tonsillectomycombined Adenoidectomy on Children with Sleep Apnea Syndrome |
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| DOI： |
| 中文关键词: 儿童鼾症 扁桃体部分切除术 扁桃体切除术 生活质量 疼痛评分 |
| 英文关键词: Childhood patients with snoring Tonsillotomy Tonsillectomy Quality of life Pain score |
| 基金项目:国家自然科学基金项目（81372880）；高等学校博士学科点专项科研基金项目（20130141120093）；
湖北省自然科学基金项目（2012FFA045） |
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| 中文摘要: |
| 目的：探讨等离子刀扁桃体部分切除术(Tonsillotomy，TT)联合腺样体射频消融术治疗儿童鼾症的短期临床疗效。方法：选取
2015年1月至2016年1月于我院接受扁桃体和腺样体手术的鼾症患儿77例，随机分为实验组即扁桃体部分切除术组(TT组)和对
照组即扁桃体全部切除术(Tonsillectomy，TE)组(TE组)。选用儿童OSA-18生活质量调查表对儿童鼾症患者术前1 个月和术后6 个
月进行调查随访和评估，比较两组临床疗效的差异。采用VAS量表计量两组患儿术后1-7天的吞咽疼痛情况。观察两组患儿术后出
血、术后扁桃体发炎情况以及扁桃体增生情况。结果：TT组和TE 组患儿术后6个月OSA-18 量表的总评分及5个维度的总分较术
前比较均下降，差异均具有统计学意义(P值均等于0.000)，但两组术后OSA-18量表的总评分比较差异无统计学意义(P=0.246)。TT
组术后第1天至术后第7天的吞咽疼痛VAS评分均较TE组低，差异均具有统计学意义(P值均小于0.01)。两组患者术后均无患儿
出血、无扁桃体反复发炎以及扁桃体组织增生。结论：等离子刀扁桃体部分切除术联合腺样体射频消融术治疗儿童鼾症短期临床疗
效明确，术后吞咽疼痛程度轻微、疼痛时间短，短期内无扁桃体增生及反复扁桃体发炎，可作为治疗儿童鼾症的首选术式之一。 |
| 英文摘要: |
| Objective:To explore the clinical therapeutic effects of tonsillotomy (TT) combined with adenoids radiofrequency
ablation on the childhood patients with snoring.Methods:77 cases of snoring children received tonsil surgery and adenoidectomy from
January 2015 to January 2016 in our hospital were selected in the study. All the cases were assigned to the experimental group (TT group)
and control group (Tonsillectomy, TE group). The children OSA-18 quality of life questionnaire was finished for follow-up survey and
assessment 1 month prior to the treatment and 6 months after the treatment, respectively. Visual analog scale (VAS) of two groups was used
for the statistics of swallowing pain in 1-7 days postoperative. And postoperative bleeding, recurrent inflammation of the tonsils and
tonsillar hyperplasia were observed in two groups.Results:The score of five dimensions and the total score of OSA-18 Questionnaire were
reduced 6 months after the treatment in both the TT group and the TE group (P<0.01), while no statistical significance was found in the
difference of the total score (P>0.05). Compared with TE group, the VAS scores of swallowing pain in 1-7 days postoperation was lower in
TT group (P<0.01). No postoperative bleeding, recurrent inflammation of the tonsils and tonsillar hyperplasia was observed in two groups.Conclusion:Coblation treatment of tonsillotomy (TT) combined with adenoids radiofrequency ablation showed clear clinical effect in the
treatment of childhood patients with snoring. The postoperative swallowing pain was slightly and short. There was no tonsillar hyperplasia
and recurrent inflammation of the tonsils in the short term. The treatment was recommended for children with snoring. |
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