目的:比较成人等离子腺样体消融术与动力系统腺样体切除术两种手术方式的临床疗效及对患者生活质量的影响.方法:将60例成人腺样体肥大患者分为两组,等离子组和动力系统组,比较两组患者一般情况,手术费用,术中出血量,术后出血量,术后疼痛评分,术后生活质量评分等.结果:等离子组患者手术时间更短,术中出血量更少,术后出血量更少,术后疼痛更轻,但手术费用更高,术后活力更高( P＜0.05,差异具有统计学意义) ,情感职能、社会功能、精神健康、一般健康状况、生理功能、生理职能等两组比较没有明显差异(P＞0.05,差异不具有统计学意义).结论:等离子腺样体消融术比动力系统手术手术时间更短,术中出血量更少,术后出血量更少,术后疼痛更轻,但手术费用更高,值得临床推广.%Objective: To compare the clinical efficacy and the quality of life of two kinds of surgical methods in the treatment of adult patients with adenoid ablation and dynamic adenoidectomy. Methods: 60 ca-ses of adult adenoidal hypertrophy patients were divided into 2 groups, plasma group and power systems group, the two groups were compared, the cost of surgery, intraoperative bleeding, postoperative bleeding vol-ume, postoperative pain score, postoperative life quality score. Results: The plasma group had shorter opera-tive time, less bleeding in the operation, less postoperative bleeding and less postoperative pain, but the oper-ation cost was higher and the postoperative vitality was higher ( P＜0.05, the difference was statistically signifi-cant) . There were no significant differences in the two groups of emotional function, social function, mental health, general health status, physiological function, physiological function and so on ( P＞0.05, the difference was not statistically significant) . Conclusion: Plasma adenoid ablation is shorter than the power system, with less bleeding, less postoperative bleeding and less postoperative pain, but the cost of surgery is higher, which is worthy of clinical promotion.
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