Zhou C Y, Sun B C, Wang F, Yang S Z, Han Z L, Han J H, Shen Y, Wang T, Yan Q H
Department of Otolaryngology, the First Affiliated Hospital of PLA General Hospital, Beijing, 100048, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Jun 5;30(11):863-866. doi: 10.13201/j.issn.1001-1781.2016.11.006.
This study aims to explore the clinical effect of adenoidectomy and tonsillectomy assisted with ablation on children.The investigation took the form of retrospective review of 2 089 cases of children applied with adenoidectomy and tonsillectomy assisted with ablation in our hospital in recent 10 years. We obtained data of these children with epidemiological methods based on analyzing the status of general information and operation selections, and then analyzing the scores of snoring and breath preoperation and postoperation.①General information of 2 089 cases followed with: the ratio of male and female was 2.08∶1，the average onset age was（5.87±3.12）years old, mostly ranged from 3 to 7 years old, which consists of 76.35%（1595/2089）of the group.②Different surgery methods of tonsil consisted of three groups as: partial resection associate with ablation was 69.17%(1445/2089), ablation alone was 22.26%(465/2089) and partial resection alone was 8.57%(179/2089) of the group.③A high level scores of snoring and breath more frequently found in preoperative cases than in postoperative cases( <0.01).There are no differentiation among the scores of above three groups( >0.05).The postoperative effect evaluation were related to allergic rhinitis, recurrent of tonsillitis, obesity, circular occipital hyperplasia and nasopharyngeal adhesion.The results suggested that surgery assisted with ablation has its advantage in adenoidectomy and tonsillectomy. Individual therapy for different children will improve the curative effect and relieve the pain of operation, thus is worth a wide application.
本研究旨在探讨腺样体切除术及扁桃体切除术联合消融术对儿童的临床疗效。本调查采用回顾性研究的形式，对我院近10年应用腺样体切除术及扁桃体切除术联合消融术的2089例儿童进行分析。我们通过流行病学方法收集这些儿童的资料，分析其一般信息及手术选择情况，然后分析术前及术后打鼾和呼吸的评分。①2089例患儿的一般信息如下：男女比例为2.08∶1，平均发病年龄为（5.87±3.12）岁，多在3至7岁，该年龄段患儿占76.35%（1595/2089）。②扁桃体不同手术方式分为三组：部分切除联合消融术占69.17%（1445/2089），单纯消融术占22.26%（465/2089），单纯部分切除术占8.57%（179/2089）。③术前打鼾和呼吸评分高的病例比术后更常见（<0.01）。上述三组评分之间无差异（>0.05）。术后疗效评估与过敏性鼻炎、扁桃体炎复发、肥胖、环状枕部增生及鼻咽粘连有关。结果表明，联合消融术在腺样体切除术及扁桃体切除术中具有优势。针对不同儿童进行个体化治疗将提高疗效并减轻手术痛苦，因此值得广泛应用。
