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目的:比较鼻内镜下腺样体切除术与低温等离子手术的疗效及优势。方法:回顾性分析腺样体肥大行鼻内镜直视下腺样体切除术患儿38例,及行低温等离子手术36例患儿的临床资料的比较。并随访6～12个月,观察并发症及术后恢复情况。结果:鼻内镜下腺样体切除术较与低温等离子手术手术时间缩短,出血量少,并发症减少,术后打鼾改善程度更为满意,术后复发概率小,术前并发的分泌性中耳炎治愈率高。结论:低温等离子技术应用于儿童腺样体手术后迟发性出血的原因可能与手术技能经验不足、止血稳定性欠佳以及术后伪膜脱落有关,鼻内镜下腺样体切除术有其独特的优势,是值得推广的手术方式。
Objective: To compare the efficacy and advantages of endoscopic adenoidectomy and low temperature plasma surgery. Methods: A retrospective analysis of adenoid hypertrophy in nasal endoscopic adenoidectomy 38 cases of children, and underwent low temperature plasma surgery in 36 cases of children with clinical data comparison. All the patients were followed up for 6 ~ 12 months. Complications and postoperative recovery were observed. Results: Compared with the low temperature plasma surgery, the time of endoscopic adenoidectomy was shorter, the amount of bleeding was less, the complication decreased, the degree of improvement of postoperative snoring was more satisfied, the probability of postoperative recurrence was less, and preoperative otitis media with effusion High cure rate. CONCLUSIONS: The reasons for the delayed hemorrhage after cryogenic plasma applied to children with adenoid surgery may be related to the lack of experience in surgical skills, poor hemostasis stability and pseudomembranous detachment after surgery, and endoscopic adenoidectomy Unique advantages, is worth promoting the surgical approach.