摘要
目的:探析在鼻窦内窥镜下行小儿腺样体切除术的临床疗效。方法:回顾性分析我院2014年1-6月收治的439例鼻窦内窥镜下行小儿腺样体切除术患者的临床资料,并与同期420例行保守药物治疗患儿的临床资料进行比较,对比两组临床疗效,症状、体征改变,记录手术患儿并发症情况。结果:观察组治疗有效率86.6%(380/439)显著高于对照组38.6%(162/420),观察组并发症发生率32.8%(42/128)显著低于对照组48.3%(42/120),打鼾、张口呼吸、睡眠呼吸暂停、分泌性中耳炎及发育障碍等临床症状和体征发生率均显著低于对照组,差异均具有统计学意义(均P<0.05);观察组均未见软腭、咽鼓管口损伤等并发症,术后7例(1.6%)患儿出血多,经电凝止血。结论:鼻窦内窥镜下行小儿腺样体切除术临床疗效显著,全面改善临床症状和体征,并发症少。
Objective：To observe clinical effect of pediatric adenoidectomy under naso-antral endoscopy.Methods：Clinical data of 439 patients with pediatric adenoidectomy under naso-antral endoscopy were retrospectively analyzed and compared with the clinical data of 420 patients with conservative treatment.Clinical effect,symptoms,and signs changes were compared,and surgical complications were recorded.Results：Treatment efficiency of observation group with the rate of86.6%（380/439）was significantly higher than that of control group whose rate was 38.6%（162/420）.Complication rate,32.8%（42/128）of observation group was significantly lower than that of control group,48.3%（42/120）.Clinical signs and symptoms such as snoring,mouth breathing,sleep apnea,secretory otitis media and developmental disorders were significantly lower than those of control group.The differences were statistically significant（P 0.05）.There were no such complications as soft palate and eustachian tube damage in control group.Seven cases（1.6%）of postoperative bleeding in patients were treated by electric coagulation hemostasis.Conclusion：Clinical effect of pediatric adenoidectomy under naso-antral endoscopy is significant,with comprehensive improvement on clinical symptoms and signs and fewer complications.
出处
《武汉大学学报（医学版）》
CAS
2015年第3期471-473,493,共4页
Medical Journal of Wuhan University
关键词
鼻窦内窥镜
小儿腺样体切除术
腺样体肥大
临床疗效
Naso-Antral Endoscopy
Pediatric Adenoidectomy
Adenoid Hypertrophy
Clinical Effect
