孙晓艳　刘士辉　鞠新翠

[摘要]目的 探讨腺样体射频消融术治疗儿童腺样体肥大和扁桃体的临床效果。方法 选取2015年5月22日～2016年5月22日我院收治的60例腺样体肥大和扁桃体患儿作为研究对象，采用奇偶数方式分为观察组和对照组，每组各30例。对照组患者实施常规治疗，观察组患者实施腺样体射频消融术治疗。比较两组患者的临床症状评分、总有效率、复发率、手术时间、术中出血量、腺体切除时间及并发症发生率。结果 观察组患儿腺体切除时间、手术时间均短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.05）。观察组患儿的并发症发生率、复发率均低于对照组，差异有统计学意义（P<0.05）。观察组患儿治疗总有效率均高于对照组，差异有统计学意义（P<0.05）。治疗后，观察组患儿各症状评分均低于对照组，差异有统计学意义（P<0.05）。结论 对腺样体肥大儿童和扁桃体儿童均可实施腺样体射频消融术治疗，从而保证疗效，提高治疗安全性。

[关键词]射频消融术；腺样体肥大；扁桃体；效果；安全性

[中图分类号] R765.9 [文献标识码] A [文章编号] 1674-4721（2017）11（b）-0090-03

[Abstract]Objective To investigate the clinical effect of adenoid echocardiography in the treatment of adenoid hypertrophy and tonsil in children.Methods Sixty patients with adenoid hypertrophy and tonsils treated in our hospotal from May 22，2015 to May 22，2016 were selected as subjects and were divided into observation group and control group，30 cases in each group. The patients of control group were treated with routine therapy and the patients of observation group were treated with adenoid radiofrequency ablation.The clinical symptoms score，total effective rate，recurrence rate，operation time，intraoperative blood loss，gland resection time and complication rate were compared between the two groups.Results In the observation group，the time of gonadectomy and operation time were both shorter than the control group，the intraoperative blood loss was less than the control group，and the differences were statistically significant （P<0.05）.The incidence rate of complications and recurrence rate were lower than those in the control group，and the differences were statistically significant （P<0.05）.The total effective rate of treatment in the observation group was higher than that in the control group，and the difference was statistically significant （P<0.05）.After treatment，the symptom scores of all the children in the observation group were lower than those in the control group，and the differences were statistically significant （P<0.05）.Conclusion Adenoid radiofrequency ablation of adenoid hypertrophy children and tonsils can be performed to ensure the curative effect and improve the safety of treatment.

[Key words]Radiofrequency ablation；Adenoid hypertrophy；Tonsil；Effect；Safety

腺樣体肥大和扁桃体均具有较高的发生率，且均属于小儿好发病，有学者认为，其发病与环境、遗传、生活环境、基础病等因素有关，可表现为睡眠时呼吸不畅、闭塞等，若未及时干预，可导致患儿鼻咽部狭窄，从而引起生长发育迟缓、颌面发育障碍、呼吸暂停低通气综合征、分泌性中耳炎、听力障碍等并发症，严重时，可加重右心衰竭，最终引起不可逆的心血管损害[1]。早期常实施腺体刮除术或扁桃体剥离术治疗，其危险系数较高，且创伤性较大，因此部分学者提议实施射频消融术治疗，其能够在低温环境下打开靶组织分子键，促使电解质液形成离子体薄层，改善患儿鼻部通气功能，修复纤维组织，达到减容目的[2]。为了证实此类报道，本研究选取我院收治的60例腺样体肥大和扁桃体患儿作为研究对象，旨在探索腺样体射频消融术治疗儿童腺样体肥大临床意义，具体报道如下。……