Comparison between nasal endoscopic suction cutter treatment of adenoidal hypertrophy and blind adenoid scraping by spatula

摘要

Objective:To analyze the wound degree during suction cutter treatment of adenoidal hypertrophy and its effect on postoperative ventilation function.Methods: A total of 112 patients with adenoidal hypertrophy were randomly divided into observation group and control group (n=56), control group received blind adenoid scraping by spatula, observation group received suction cutter treatment, and then differences in serum levels of inflammatory cytokines and apoptosis factors as well as nasal ventilation function and lung function indexes were compared between two groups of patients after treatment.Results:Inflammatory cytokines IL-4, IL-6, TNF-α, ECP and ICAM-1 content in serum of observation group 2d after treatment were lower than those of control group, and apoptotic factors survivin, caspase-3, sFas and sFasL content in serum were lower than those of control group (P<0.05); nasal ventilation function parameters TIR, TER, NPRi and NPRe levels of observation group 1 week after treatment were lower than those of control group while IC and EC levels were higher than those of control group, and pulmonary function parameters VT, MV, PIEF, FEF25%, FEF50% and FEF75% levels were higher than those of control group (P<0.05). Conclusions:Suction cutter treatment of adenoid hypertrophy outstandingly improves the patients’ ventilation function, and also has the advantage of small wound.