Abstract:Objective: To compare the clinical efficacy and the quality of life of two kinds of surgical methods in the treatment of adult patients with adenoid ablation and dynamic adenoidectomy. Methods: 60 cases of adult adenoidal hypertrophy patients were divided into 2 groups, plasma group and power systems group, the two groups were compared, the cost of surgery, intraoperative bleeding, postoperative bleeding volume, postoperative pain score, postoperative life quality score. Results: The plasma group had shorter operative time, less bleeding in the operation, less postoperative bleeding and less postoperative pain, but the operation cost was higher and the postoperative vitality was higher (P<0.05, the difference was statistically significant). There were no significant differences in the two groups of emotional function, social function, mental health, general health status, physiological function, physiological function and so on (P>0.05, the difference was not statistically significant). Conclusion: Plasma adenoid ablation is shorter than the power system, with less bleeding, less postoperative bleeding and less postoperative pain, but the cost of surgery is higher, which is worthy of clinical promotion.
黄瑞通, 黄威, 杨婉, 胡秀敏. 成人等离子腺样体消融术与动力系统腺样体切除术临床疗效及生活质量比较[J]. 河北医学, 2018, 24(6): 991-993.
HUANG Ruitong, HUANG Wei, YANG Wan, et al. Comparison of Clinical Efficacy and Quality of Life between Adult Plasma Adenoidectomy and Dynamic Adenoidectomy. HeBei Med, 2018, 24(6): 991-993.
[1] Hu C,Han D,Zhou B,et al.Investigation of resectability degree for adenoidal surgery in OSA children with the method of computational fluid dynamics[J].Acta oto-laryngologica,2017,137(1):82. [2] 吴孝江,赵家利,张红伟,等.鼻内镜下儿童腺样体低温等离子融切术21例体会[J].临床耳鼻咽喉头颈外科杂志,2010,24(8):375~376. [3] 赵九洲,林曾萍,邱书奇,等.鼻内镜下两种不同手术方式治疗儿童腺样体肥大78例疗效比较[J].中国医药科学,2014,4(3):193~194. [4] 张亮,刘业海.70度鼻内镜下经口低温等离子腺样体切除术的临床应用[J].中国实用医药,2015,10(36):43~44. [5] 伍立德,谭学君,文溢,等.4种手术治疗腺样体肥大的效果研究[J].重庆医学,2016,45(27):3808~3810. [6] Shapiro N L,Bhattacharyya N.Cold dissection versus coblation-assisted adenotonsillectomy in children.[J].Laryngoscope,2007,117(3):406~410. [7] Nastasha Polites,Sander Joniau,David Wabnitz,et al.Postoperative pain following coblation tonsillectomy:randomizen clinical trial[J].Anz Journal of Surgery,2006,76(4):226~229. [8] 李健忠.SF-36、SNOT-20质量量表评价真菌性鼻窦炎不同手术方式术后的生活质量及疗效[J].赣南医学院学报,2014(3):388~390.