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  [摘要] 目的 探讨经鼻内镜电动吸割器切除腺样体，术中使用低温等离子止血方法的优势。 方法 将我院60例行腺样体切除的患儿随机分成两组，30例腺样体肥大患儿采用经鼻内镜电动吸割器联合低温等离子止血行腺样体切除(低温等离子组)，与同期30例经鼻内镜电动吸割器切除腺样体，用双极电凝止血相比(双极电凝组)。对两组术后出血、发热、鼻腔恢复正常通气时间、并发症等临床症状进行分析比较。 结果 两组在术后出血、发热、恢复正常通气时间、并发症等方面比较，差异均有统计学意义(均P﹤0.05)。术后平均随访6个月～1 年，患者症状明显好转，无鼻腔粘连、腺样体肿大等发生。 结论 鼻内镜下切除腺样体，术中使用低温等离子止血，具有微创、痛苦小、出血少、疗效满意等特点，值得在临床推广。

 [关键词] 腺样体肥大；鼻内镜；低温等离子；止血

 [中图分类号] R765.9 [文献标识码] B [文章编号] 1673-7210(2012)02(b)-0144-02

 Application of low-temperature plasma haemostasis under the nasal endoscopy in adenoid surgery

 CHEN Enkuan SONG Wenguang

 Department of Otolaryngology, Guangzhou Red Cross Hospital the Fourth Affiliated Hospital of Ji'nan University, Guangdong Province, Guangzhou 510220, China

 [Abstract] Objective To investigate the effect of low-temperature plasma in endoscopic adenoidectomy. Methods A total of 60 patients receiving adenoid surgery were randomly divided into low-temperature plasma group and double-pole coagulation group. 30 children with hyperplasia of adenoids were treated by low-temperature plasma in endoscopic adenoidectomy, compared with the 30 cases hyperplasia of adenoids by bipolar coagulation. The different clinical indexes of two groups were analyzed. Results There were significant differences between the two groups in operating bleeding, complications, postoperative fever and the nasal natural venting (all P
 http://www.100md.com/html/paper/1673-0089/2012/05/65.htm
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