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| 鼻内镜下切割吸引刀与腺样体刮勺盲刮治疗腺样体肥大的疗效比较 |
| Clinical analysis of adenoid hypertrophy treated by incision aspiration knife under nasal endoscope and blind curettage with adenoid curettage spoon |
| 投稿时间：2019-01-23 |
| DOI：10.3969/j.issn.1000-0399.2019.10.005 |
| 中文关键词: 鼻内镜下切割吸引刀 刮勺盲刮 腺样体肥大 |
| 英文关键词: Nasal endoscopic cutting suction knife Scraping blind scraping Adenoid hypertrophy |
| 基金项目:南通市市级科技计划项目（项目编号：qyz15064） |
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| 中文摘要: |
| 目的 探究鼻内镜下切割吸引刀与腺样体刮勺盲刮治疗腺样体肥大的疗效。方法 选取江苏省如皋市人民医院2017年3月至2018年3月收治的腺样体肥大患者90例，按随机数字表法分为观察组和对照组，每组各45例。对照组采用腺样体刮勺盲刮治疗，观察组采用鼻内镜下切割吸引刀治疗。对比两组患者的临床疗效、并发症发生率、手术前后血清相关指标及鼻通气功能变化。结果 观察组治疗总有效率高于对照组，差异有统计学意义（P<0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P<0.05）；观察组手术前后白细胞介素4（IL-4）、IL-6嗜酸性细胞阳离子蛋白（ECP）、肿瘤坏死因子-α（TNF-α）、重组人细胞间黏附因子-1（ICAM-1）水平差值均低于对照组，差异均有统计学意义（P<0.05）；观察组手术前后双侧呼气总阻力（TER）、吸气总阻力（TIR）、鼻呼气量差异比（NPRe）、鼻吸气量差异比（NPRi）、鼻腔呼气量（EC）、鼻腔吸气量（IC）差值均高于对照组，差异有统计学意义（P<0.05）。结论 鼻内镜下切割吸引刀治疗腺样体肥大较刮勺盲刮治疗疗效更好，患者术后炎症反应低，并发症少，值得临床推广。 |
| 英文摘要: |
| Objective To investigate the curative effect of nasal endoscopic cutting suction knife and adenoid scraping in the treatment of adenoid hypertrophy. Methods A total of 90 patients with adenoidal hypertrophy admitted to Rugao People's Hospital of Jiangsu Provincefrom March 2017 to March 2018 were enrolled in the study. They were divided into two groups according to the random number table, 45 cases each. The control group was treated with adenoid sclering blind shaving, and the observation group was treated with endoscopic cutting suction knife. The clinical efficacy, complication rate, serum index and changes of nasal ventilation function before and after treatment were compared between the two groups. Results The clinical efficacy of the observation group was higher than that of the control group (P<0.05). The incidence of complications was lower in the observation group than in the control group (P<0.05). The levels of IL-6, ECP, TNF-α and ICAM-1 were lower than those of the control group (P<0.05). The TER, TIR, NPRe and NPRi of the observation group were lower than those of the control group. The EC and IC of the group were higher than the control group, and the difference was statistically significant (P<0.05). Conclusion Nasal endoscopic cutting knife is more effective in treating adenoid hypertrophy than sclering blind scraping. The postoperative inflammatory response is lower and the complications are less. It is worthy of clinical promotion. |
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