儿童腺样体扁桃体切除后圆枕增生26例

doi:10.6040/j.issn.1673-3770.0.2023.080

摘要/Abstract

摘要： 目的探讨儿童接受腺样体伴/不伴扁桃体手术治疗后圆枕增生的临床现象及特征。方法回顾分析26例圆枕增生患儿的临床资料(年龄、性别、首次手术时间、手术方式以及是否伴有变应性鼻炎方面)。结果 26例患儿接受腺样体和/或扁桃体手术治疗后出现再次鼻塞打鼾症状,经鼻内窥镜检查确诊为圆枕增生。其中男20例、女6例;92.3%患儿首次行腺样体伴/不伴扁桃体手术治疗年龄为5岁前;术后确诊为圆枕增生时间间隔为3~45个月;其中8例患儿接受了圆枕部分切除手术,2次手术时间间隔为3~48个月。10例患儿有明确的变应性鼻炎症状及体征;接受腺样体切除及保留(部分)扁桃体手术的患儿21例,腺样体切除合并扁桃体全部切除的5例。结论圆枕增生为扁桃体腺样体术后的较罕见的并发症,好发于5岁前接受腺样体伴/不伴扁桃体手术的儿童;与变应性鼻炎的关系密切,抗过敏治疗有一定的临床疗效;低温等离子技术手术治疗增生圆枕有临床效果;与接受腺样体切除合并扁桃体全部切除的患儿相比,保留扁桃体手术的患儿中圆枕增生的现象较为多见。

关键词: 阻塞性睡眠呼吸暂停综合征, 腺样体肥大, 等离子技术, 圆枕增生, 儿童

Abstract: Objective To report the clinical phenomenon and characterisation of torus hyperplasia occurring after adenoidectomy and/or tonsillectomy in children. Methods This study included 26 pediatric patients diagnosed with torus hyperplasia. Clinical data(age, gender, time of first operation, way of operation and allergic rhinitis or not)were reviewed and analyzed. Results Twenty-six children who had underwent adenoidectomy and/or tonsillectomy had recurred snoring symptom, and were diagnosed with TTH. There were 20 males and 6 females, of whom 92.3% underwent first adenoidectomy and/or tonsillectomy before 5 years of age; the interval of diagnosis of torus hyperplasia after the operation ranged from 3 to 45 months. Eight children underwent partial resection of torus hyperplasia, the interval of two operations ranged from 3 to 48 months, and 10 exhibited definite signs and symptoms of allergic rhinitis. Twenty-one children underwent adenoidectomy or adenoidectomy with partial tonsillectomy, and 5 underwent adenoidectomy with total tonsillectomy. Conclusion TTH is a rare complication after adenoidectomy, and tended to occur in those who underwent adenoidectomy before 5 years of age. TTH was associated with allergic rhinitis, anti-allergic therapy has a certain clinical effect, and low-temperature plasma surgery is useful for torus hyperplasia. Torus hyperplasia was more common in children undergoing adenoidectomy without tonsillectomy than in those undergoing adenoidectomy with tonsillectomy.

Key words: Obstructive sleep apnea syndrome, Adenoid hypertrophy, Plasma technology, Tubal torus hyperplasia, Children

中图分类号:

R246.81

赵云,滕支盼,李琦,沈小飞. 儿童腺样体扁桃体切除后圆枕增生26例[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 43-48.

ZHAO Yun, TENG Zhipan, LI Qi, SHEN Xiaofei. Twenty-six cases of tubal torus hyperplasia after adenoid tonsillectomy in children[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 43-48.

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