Yang Na, Liu Yin
Department of Otorhinolaryngology Head and Neck Surgery,Xuzhou Children's Hospital Affiliated to Xuzhou Medical University,Xuzhou,221000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jan 5;35(1):42-43. doi: 10.13201/j.issn.2096-7993.2021.01.010.
To investigate the effects of postoperative surgical treatment of infantile adenoidal hypertrophy on children, the recurrence rate, and the changes in immune levels before and after surgery. Low temperature plasma ablation was performed in 11 infants with adenoidal hypertrophy to evaluate the risk of postoperative anesthesia and the effect of surgery on recurrence rate and immunity. During the follow-up period of 3 to 6 months, 2 patients had recurrence(18.18%), including 1 case with round pillow hyperplasia and 1 case with tonsil reactive hyperplasia. Three months after surgery, the immune level did not decrease significantly compared with that before surgery. No serious complications occurred in all children. Infants with adenoidal hypertrophy fall asleep, snoring, open mouth breathing, and belching seriously affect the quality of sleep and growth. Children who have been ineffective for more than 2 months undergo low-temperature plasma ablation. General anesthesia is safer. After that, the sleep quality of the children was significantly improved, and the immunity did not decrease significantly. Low temperature plasma ablation in infants with adenoidal hypertrophy is safe and effective, but it is not a routine treatment. Clinical symptoms are easy to repeat. The indications for surgery should be appropriately weighed.
为探讨小儿腺样体肥大术后外科治疗对患儿的影响、复发率及手术前后免疫水平的变化。对11例腺样体肥大患儿行低温等离子消融术,评估术后麻醉风险及手术对复发率和免疫的影响。在3至6个月的随访期内,2例复发(18.18%),其中1例为圆枕增生,1例为扁桃体反应性增生。术后3个月,免疫水平与术前相比无明显下降。所有患儿均未发生严重并发症。腺样体肥大患儿入睡困难、打鼾、张口呼吸及嗳气严重影响睡眠质量和生长发育。经2个月以上治疗无效的患儿行低温等离子消融术,全身麻醉更安全。术后患儿睡眠质量明显改善,免疫水平无明显下降。小儿腺样体肥大低温等离子消融术安全有效,但并非常规治疗方法,临床症状易反复,手术适应证应适当权衡。