Objective To compare the clinical outcomes of temperature-controlled radiofrequency and powered microdebrider in the surgical treatment of adenoid hypertrophy. Methods A total of 78 cases with adenoid hypertrophy underwent adenoidectomy was equally divided into two groups of A (surgery with temperature-controlled radiofrequency) and B(surgery with powered microdebrider). The operative time, blood lose, complications and effectiveness rate were compared between two groups. Results The surgeries were performed smoothly without any severe complications in both groups. The operative time was shorter and blood lose was less in group A than those in group B[(18. 3±2.4) min vs. (37. 9±5. 5) min and (9. 4±3.1) ml vs. (61. 4±7. 8) ml] (P<0.05). Conclusion Compared to powered microdebrider. surgical resection of adenoid hypertrophy with temperature-controlled radiofrequency is with shorter operative time and less blood lose.%目的 比较鼻内镜下分别使用低温等离子系统和电动切割器切除腺样体的优越性.方法 腺样体切除手术的患儿78例均分为两组:A组使用低温等离子手术系统;B组使用电动切割器.比较两组的手术时间、术中出血量、术后并发症及有效率.结果 两组患儿手术顺利,术后效果好,无严重并发症发生.A组手术时间较B缩短[(18.3±2.4) min vs.(37.9±5.5)min] (P＜0.05);A组出血量较B组减少[(9.4±3.1) ml vs.(61.4±7.8)ml](P＜0.05).结论 与应用电动切割器比较,使用低温等离子手术系统实施腺样体切除术具有手术时间短、出血少的优势.
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