OALib Journal期刊
鼻窦内窥镜下小儿腺样体切除术的临床疗效 Clinical Effect of Pediatric Adenoidectomy Under Naso-Antral Endoscopy
Keywords: 鼻窦内窥镜 ,小儿腺样体切除术 ,腺样体肥大 ,临床疗效
Abstract:
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
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