Comparison of short-term efficacy of endoscopic adenoid hypothermic plasma ablation and cleavage and its effect on Eustachian tube function
10.16066/j.1672-7002.2017.04.008
- VernacularTitle:鼻内镜下腺样体低温等离子消融术与切割术的短期疗效比较及对咽鼓管功能的影响
- Author:
Guoshun ZHANG
;
Xiaoyang HUANG
;
Shoumin LI
- Keywords:
Endoscopy;
Eustachian Tube;
Treatment Outcome;
radiofrequency ablation
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(4):194-197
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE The short-term efficacy of endoscopic adenoid hypothermic plasma ablation and its effect on Eustachian tube function. METHODS 75 patients with obstructive sleep apnea hypopnea syndrome who were treated in our hospital from March 2013 to March 2015 were divided into two groups according to the different operative methods: nasal power cutting group(30 cases) and low temperature plasma ablation group(45 cases), comparison of the two groups of patients with surgery time, intraoperative blood loss and follow-up after 6 months of clinical efficacy and Eustachian tube function. RESULTS The time of resection, operation time and intraoperative blood loss were significantly better in the low-temperature plasma ablation group than that in the rhinectomy group, the difference was statistically significant(P<0.05); The incidence of complications in the low-temperature plasma ablation group was significantly higher than that in the rhinectomy group, and the difference was significant(P<0.05); there was no significant difference between the two groups in the total effective rate and the postoperative disease-specific quality of life questionnaire(OSA-18) and there was no significant difference in the quality of life between the two groups(P>0.05). CONCLUSION The clinical efficacy of low-temperature plasma ablation is close to nasal dynamic cutting, but low-temperature plasma ablation surgery in the amount of bleeding was significantly less than the nasal excision. This surgical approach is minimally invasive and safe, but its postoperative secondary infection and secondary bleeding is high, so this need for further study.
