低温高渗电解质液用于等离子刀切除腺样体治疗腺样体肥大伴SOM的疗效分析

李智;张丽娜;邸瑞玲;田晓斌;张娜;段宏;

1:秦皇岛市第一医院耳鼻咽喉-头颈外科

2:秦皇岛市第一医院口腔科

3:秦皇岛市妇幼保健院耳鼻喉科

摘要
目的探讨低温高渗电解质液用于等离子刀切除腺样体治疗腺样体肥大伴分泌性中耳炎(secretory otitis media,SOM)的疗效。方法以2012年5月至2014年4月确诊的166例腺样体肥大伴SOM患儿为研究对象,随机分为常温等渗组和低温高渗组各83例,常温等渗组采用常温生理盐水为电解液行低温等离子射频消融腺样体切除术,低温高渗组采用低温高渗盐水为电解质溶液行低温等离子射频消融腺样体切除术,观察两组疗效。结果术后二组患儿鼻塞及打鼾均明显改善,且均在术后3个月内恢复正常;常温等渗组听力恢复正常时间为1487天,平均25天;低温高渗组听力恢复正常时间为587天,平均25天;低温高渗组听力恢复正常时间为542天,平均12天;两组比较差异有统计学意义(P<0.05)。结论应用低温高渗电解质液可明显缩短等离子刀切除腺样体肥大伴SOM患儿的听力恢复时间。
关键词
腺样体切除术;分泌性中耳炎;低温高渗盐水;等离子刀
基金项目(Foundation):
作者
李智;张丽娜;邸瑞玲;田晓斌;张娜;段宏;
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