Abstract：Objective: To investigate the efficacy of adenoidectomy for children with chronic rhinosinusitis. Methods: 80 children with chronic rhinosinusitis admitted from January 2014 to December 2016 were randomly divided into two groups. The adenoidectomy was performed on the children in the surgery group, while the conventional group was given traditional routine treatment. The quantitative scores of disease symptoms, pain, endoscopic score, total effective rate and long-term prognosis were compared between the two groups. Results: The total score of SNOT-20 (5.90±1.04) was significantly lower in the surgical group than in the conventional group (8.52±1.20); the VAS score (2.05±0.50) and the Lund-Kennedy score (1.70±0.68) after the treatment. 0.68)Compared groups were significantly lower than the conventional group (4.11±1.07, 3.57±0.79); Total effective rate (97.5%) was significantly higher than the conventional group (67.5%); Physical pain at the end of follow-up (70.20±9.13), The overall health (78.25±9.05) and vitality score (80.23±9.16) groups were significantly higher than the conventional group (61.13±8.70, 67.23±10.04, 70.60±9.11), and the difference was statistically significant (P<0.05). Conclusion: Adenoidectomy has a significant effect on the treatment of chronic rhinosinusitis in children with a good prognosis.
马淑巍, 陈洁. 腺样体切除术治疗儿童慢性鼻-鼻窦炎的疗效分析[J]. 河北医学, 2018, 24(9): 1501-1503.
MA Shuwei, CHEN Jie. Analysis on Therapeutic Effect of Adenoidectomy for Children with Chronic Rhinosinusitis. HeBei Med, 2018, 24(9): 1501-1503.
[1] 蔡建良,官树雄,王继群.腺样体切除术治疗儿童慢性鼻-鼻窦炎的临床研究[J].重庆医学,2014,43(5):561~562,565. [2] 陈子姝,陈子玉.婴幼儿腺样体肥大CT诊断与鼻-鼻窦炎发病的关系[J].中国实验诊断学.2016,20(2):229~230. [3] 中华耳鼻咽喉头颈外科杂志编辑委员会,鼻科学组中华医学会耳鼻咽喉头颈外科学分会小儿学组.儿童鼻-鼻窦炎诊断和治疗建议(2012年,昆明)[J].中华耳鼻咽喉头颈外科杂志,2013,48(3):177~179. [4] 火英明.鼻内镜下腺样体切除术治疗摩洛哥儿童慢性鼻-鼻窦炎临床研究[J].中国医药导刊,2014,16(6):978~979,981. [5] 李清华,皇甫辉.腺样体肥大并分泌性中耳炎患儿的预后影响因素分析[J].听力学及言语疾病杂志,2015,23(1):85~87. [6] Bettadahalli V,Chakravarti A.Post-adenoidectomy quality of life in children with refractory chronic rhinosinusitis[J].Laryngol Otol,2017,131(9):773~778. [7] 毛敏,张建国,陶爱林,等.腺样体切除术对鼻腔黏膜纤毛清除功能的影响[J].中国耳鼻咽喉颅底外科杂志,2016,22(1):50~53. [8] Ramadan H H,Bueller H,Hester S T,et al.Sinus balloon catheter dilation after adenoidectomy failure for children with chronic rhinosinusitis[J].Arch Otolaryngol Head Neck Surg,2012,138(7):635~637. [9] 王胜国,毕竞韬,周本忠,等.儿童慢性鼻-鼻窦炎个体化治疗探讨[J].临床小儿外科杂志,2017,16(6):595~600. [10] Ramadan H H,Makary C A.Can computed tomography score predict outcome of adenoidectomy for chronic rhinosinusitis in children[J].Am Rhinol Allergy,2014,28(1):e80~e82. [11] 温振雷.腺样体切除术治疗儿童慢性鼻-鼻窦炎的临床研究[J].航空航天医学杂志,2015,26(12):1490~1492.
2018, Vol. 24 
冀公网安备13080202000786号