Long Songliang,Zhang Xiaping.Efficacies of nasal endoscopic cryogenic plasma adenoidectomy for pediatric adenoid hypertrophy[J].Journal of Clinical Pediatric Surgery,,():578-583.[doi:10.3760/cma.j.cn101785-202401048-013]
Efficacies of nasal endoscopic cryogenic plasma adenoidectomy for pediatric adenoid hypertrophy
- Keywords:
- Adenoidectom; Ablation Techniques; Treatment Outcome; Comparative Study; Child
- Abstract:
- Objective To explore the efficacy of nasal endoscopic hypothermia plasma adenoid resection for pediatric adenoid hypertrophy.Methods From February 2020 to February 2023,100 children with adenoid hypertrophy were recruited retrospectively.According to surgical approaches,they were assigned into two groups of nasal endoscopic cryogenic plasma adenoidectomy (cryogenic plasma) and nasal endoscopic adenoidectomy (conventional resection)(n=50 each).Operation-related parameters,pain score,traumatic stress parameters,CCL2/21,nasal volume,ventilatory function parameters,quality-of-life,clinical efficacy,postoperative complications and recurrence were recorded.Results Volume of intraoperative hemorrhage was less in cold plasma group than that in conventional resection group (P＜0.05) and operative duration shorter than conventional resection group (P＜0.05).Duration of pharyngeal pain,nasal recovery ventilation and complete regression of tunica albuginea were shorter than conventional resection group (P＜0.05).At Day 1/2/3,VAS scores of cryogenic plasma group were lower than those of conventional resection group (P＜0.05).PGF2 α,PGE 2,Cor,PCT,CCL21,SLT,90%,ODI,LAT and AHI were lower than conventional resection group (P＜0.05) while CCL2,nasal volume,LSaO2 and quality-of-life score were higher than conventional resection group (P＜0.05).Overall response rate of cryogenic plasma group was higher than that of conventional resection group (χ2=4.762,P＜0.05).Postoperative complication rate was lower in cold plasma group than that in conventional resection group [(4.00%(2/50) vs.18.00%(9/50)](χ2=5.005,P＜0.05).However,inter-group recurrence rate was insignificant [2.00%(1/50) vs.4.00%(2/50)](χ2=0.000,P＞0.05).Conclusions For adenoid hypertrophy in children,nasal endoscopic inferior plasma adenoid ectomy may shorten operative duration,minimize volume of intraoperative hemorrhage and effectively improve ventilation function as compared with conventional resection.
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Memo
收稿日期:2024-01-19。
通信作者:张霞平,Email:233407658@qq.com