探讨腺样体刮除术对治疗小儿鼾症的临床疗效

摘要

目的：分析腺样体刮除术对小儿鼾症的临床治疗效果.方法：将确诊的65例患者随机分成治疗组与对照组，治疗组在全麻的状态下，在鼻内镜下进行腺样体的刮除手术，对照组采用传统的腺样体刮除手术进行治疗.结果：以上患儿经过手术治疗后，均随诊3个月进行观察，治疗组患儿治愈率达84.8%(28例)，有效率达15.2%(5例)，其中无一例出现复发现象，总有效率达100%；对照组患儿治愈率达68.8%(22例)，有效率达18.7%(6例)，无效率达12.5%(4)，总有效率达87.5%.两组治疗效果比较差异性较大(P<0.05)，有统计学意义；对患儿的手术时间、止血速度以及腺样体残留进行比较，除治疗时间长于对照组外(P>0.05)，其他各个方面治疗组均优于对照组(P<0.05)，差异有统计学意义.结论：腺样体肥大是引起小儿鼾症的原因，因此对腺样体进行有效的刮除，对小儿鼾症的治疗有着极为显著的临床效果.%Objective:To analysis clinical curative effect of adenoidectomy in the treatment of children with snoring disease. Methods:65 patients were randomly divided into treatment group and control group,treatment group got the nasal endoscopic adenoidectomy scraping operation,the control group used conventional adenoidectomy operation treatment.Results:Children after operation treatment,were followed up for three months to observe,the cure rate of the treatment group was 84.8% (28 cases),the effective rate was 15.2% (5 cases),in which there was no recurrence of the phenomenon,the total effective rate was 100%;the cure rate of the control group was 68.8% (22 cases),the effective rate was 18.7% (6 cases),void rate was 12.5% (4 cases),the total effective rate was 87.5%.Clinical curative effect of two group had large difference (P<0.05),and with statistical significance;for children operation time,bleeding rate and residual adenoid were better,in addition to the treatment of time longer than the control group ( P>0.05),other aspects of the treatment group were better than the control group (P<0.05),the difference was statistically significant.Conclusion:Adenoid hypertrophy is the cause of children with snoring disease cause,therefore the adenoids are effective curettage,in children with snoring disease treatment has a very significant clinical effect.