目的通过对分别施行低温等离子射频消融腺样体切除术和动力系统腺样体切除术的二组腺样体肥大患儿病例分析,了解二组手术患者的疗效及术中、术后出血情况,出血部位,分析儿童腺样体切除术术中出血的相关因素及低温等离子射频消融术消融腺样体在减少术中、术后出血方面的优势。方法收集2008年1月至2010年12月我院收治的腺样体肥大的患儿共153例,其中85例行低温等离子射频消融腺样体切除术,68例行动力系统腺样体切除术,统计两种不同术式的术中出血量,出血部位,分析两组手术方式在术中出血量、术后继发出血,以及疗效方面有无差异。结果动力系统腺样体切除术组(A组)与等离子手术组(B组)治愈率方面差异无显著性,无统计学意义(>0.05);动力系统腺样体切除术(A组)与等离子手术组(B组)在术中出血量上差异有显著性,有统计学意义(<0.01)。结论二种术式术后恢复情况(疗效)比较无明显差异,鼻内镜引导下等离子低温射频消融腺样体切除术较动力系统腺样体切除术术中、术后出血明显减少,值得推广。 Objective To analyze the curative effect of the two groups of patients with adenoid hypertrophy and the intraoperative and postoperative bleeding by performing radiofrequency ablation of adenoidectomy and adenoidectomy of the power system respectively. Bleeding site, analysis of children with adenoidectomy bleeding during the relevant factors and low temperature plasma radiofrequency ablation of adenoid in reducing intraoperative and postoperative bleeding advantages. Methods A total of 153 adenoid hypertrophy patients admitted to our hospital from January 2008 to December 2010 were collected. Among them, 85 patients underwent cryogenic plasma radiofrequency ablation of adenoidectomy and 68 patients underwent active system adenoidectomy , Statistics of two different types of intraoperative blood loss, bleeding sites, analysis of two groups of surgical methods in the amount of bleeding, secondary bleeding after surgery, and the efficacy of any difference. Results There was no significant difference in the cure rate between the dynamic system adenoidctomy group (A group) and the plasma surgical group (B group) (P> 0.05). The dynamic system adenoid excision (A group) Plasma surgery group (B group) in the amount of bleeding was significantly different, with statistical significance (<0.01). Conclusions There is no significant difference between the two kinds of operation in postoperative recovery (curative effect). Nasal endoscope-guided plasma cryogenic radiofrequency ablation of adenoidectomy is more effective than dynamic system adenoidectomy in surgery and postoperative bleeding reduction .