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摘要: 目的 探讨婴儿期腺样体肥大患儿手术治疗后的疗效、复发率及术前术后免疫力水平的变化。方法 对11例婴儿期腺样体肥大患儿行低温等离子消融术, 评估术后的麻醉风险, 及手术对复发率、免疫力的影响。结果 术后随访3~6个月, 2例复发(18.18%), 其中1例圆枕增生, 1例扁桃体反应性增生。患儿术后3个月免疫水平较术前无明显下降, 术后均未发生严重并发症, 婴儿期腺样体肥大患儿入睡打鼾、张口呼吸及憋气使睡眠质量和生长发育受到严重影响, 经保守治疗2个月以上无效的患儿行低温等离子消融术, 全身麻醉安全性较高, 术后患儿睡眠质量得到明显改善。结论 婴儿期腺样体肥大患儿行低温等离子消融术安全、有效, 但并不是常规的治疗方法, 临床症状易反复, 手术适应证应适当权衡。Abstract: Objective To investigate the effects of postoperative surgical treatment of infantile adenoidal hypertrophy on children, the recurrence rate, and the changes in immune levels before and after surgery.Methods Low temperature plasma ablation was performed in 11 infants with adenoidal hypertrophy to evaluate the risk of postoperative anesthesia and the effect of surgery on recurrence rate and immunity.Results During the follow-up period of 3 to 6 months, 2 patients had recurrence(18.18%), including 1 case with round pillow hyperplasia and 1 case with tonsil reactive hyperplasia. Three months after surgery, the immune level did not decrease significantly compared with that before surgery. No serious complications occurred in all children. Infants with adenoidal hypertrophy fall asleep, snoring, open mouth breathing, and belching seriously affect the quality of sleep and growth. Children who have been ineffective for more than 2 months undergo low-temperature plasma ablation. General anesthesia is safer. After that, the sleep quality of the children was significantly improved, and the immunity did not decrease significantly.Conclusion Low temperature plasma ablation in infants with adenoidal hypertrophy is safe and effective, but it is not a routine treatment. Clinical symptoms are easy to repeat. The indications for surgery should be appropriately weighed.
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Key words:
- infancy /
- adenoid hypertrophy /
- surgery
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表 1 患儿术前后免疫功能结果比较
x±s 免疫指标 术前 术后 P CD3 3411±1077 4236±1693 0.156 CD4 2022±670 2204±1092 0.601 CD8 1208±481 1774±706 0.051 IgG 5.34±1.42 5.17±0.95 0.620 IgA 0.21±0.10 0.21±0.12 0.959 IgM 0.83±0.26 0.81±0.27 0.704 
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| 引用本文: |
杨娜, 柳荫. 婴儿期腺样体肥大患儿手术治疗的临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(1): 42-43. doi: 10.13201/j.issn.2096-7993.2021.01.010
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| Citation: |
YANG Na, LIU Yin. Clinical analysis of adenoid surgery in infancy[J]. J Clin Otorhinolaryngol Head Neck Surg, 2021, 35(1): 42-43. doi: 10.13201/j.issn.2096-7993.2021.01.010
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