Objective:To evaluate the intraoperative trauma degree and postoperative speech function of low-temperature plasma radiofrequency surgery treatment of children with obstructive sleep apnea hypopnea syndrome (OSAHS).Me...Objective:To evaluate the intraoperative trauma degree and postoperative speech function of low-temperature plasma radiofrequency surgery treatment of children with obstructive sleep apnea hypopnea syndrome (OSAHS).Methods: A total of 118 children with OSAHS were divided into the control group (n=59) who received general surgery and the observation group (n=59) who received the low-temperature plasma radiofrequency surgery according to the random number table. Before operation and 24 h after operation, serum levels of stress hormones, acute phase proteins and inflammatory markers of two groups of children were determined, and the speech function parameter levels were assessed.Results:Before operation, differences in serum contents of stress hormones, acute phase proteins and inflammatory factors as well as speech function parameter levels were not statistically significant between two groups of patients. 24 h after operation, serum stress hormones adrenocorticotropic hormone (ACTH), angiotensin-2 (Ang-2), norepinephrine (NE), cortisol (Cor) contents of observation group were lower than those of control group, serum acute phase proteins haptoglobin (HP), ceruloplasmin (CER), and prealbumin (PA) contents were lower than those of control group, and serum inflammatory factors interleukin-1 (IL-1), interleukin-4 (IL-4), interleukin-27 (IL-27), tumor necrosis factorα(TNF-α) contents were lower than those of control group;speech function parameters NNE and NHR levels of observation group were higher than those of control group.Conclusion:Compared with routine surgery, low-temperature plasma radiofrequency surgery treatment of children with OSAHS causes less surgical trauma and more greatly improves the postoperative speech level.展开更多
Objective:To observe and analyze the perioperative nursing effect of plasma radiofrequency ablation for treatment of lumbar disc herniation.Methods:A total of 100 patients with lumbar intervertebral disc herniation re...Objective:To observe and analyze the perioperative nursing effect of plasma radiofrequency ablation for treatment of lumbar disc herniation.Methods:A total of 100 patients with lumbar intervertebral disc herniation received from October 2017 to October 2020 were selected and randomly divided into two groups with 50 cases in each group.The control group received the conventional nursing model and the experimental group received the comprehensive nursing model.The two groups of nursing care were compared on satisfaction,SDS and SAS scores before and after treatment,VAS score and JOA score before and after treatment,and treatment effect.Results:The nursing satisfaction of the experimental group,SDS and SAS scores before and after treatment,VAS score and JOA score before and after treatment,and the treatment effect were better than those of the control group.The difference was statistically significant(P<0.05).Conclusion:The comprehensive nursing model has a significant effect on the perioperative nursing of the treatment of lumbar intervertebral disc herniation by plasma radiofrequency ablation.More popularization and application will help improve the treatment effect.展开更多
Objective:To study the intraoperative wound degree as well as postoperative immune function and ventilation function of plasma radiofrequency ablation for the treatment of adenoid hypertrophy.Methods: A total of 118 c...Objective:To study the intraoperative wound degree as well as postoperative immune function and ventilation function of plasma radiofrequency ablation for the treatment of adenoid hypertrophy.Methods: A total of 118 children with adenoid hypertrophy who underwent surgical treatment in our hospital between May 2013 and April 2016 were selected and divided into the control group (n=59) who accepted conventional endoscopic cutting aspirator and the observation group (n=59) who accepted the plasma radiofrequency ablation according to the single-blind randomized controlled method. Before and after operation, the levels of peripheral blood trauma-related indexes, humoral immunity and complement indexes as well as nasal ventilation function indexes were determined.Results:Before operation, the differences in trauma-related indexes, humoral immunity and complement indexes as well as nasal ventilation function indexes were not statistically significant between two groups of children. Immediately after operation, the peripheral blood SP, PGE2 and CRP contents of observation group were lower than those of control group;24 h after operation, peripheral blood IgG, IgM, IgA, C3 and C4 contents of observation group were lower than those of control group;1 week after operation, TIR and TER levels of observation group were lower than those of control group while NPV and MCSA levels were higher than those of control group.Conclusion:Plasma radiofrequency ablation for treatment of adenoid hypertrophy causes smaller intraoperative wound and has more advantages in optimizing the body's immune function and ventilation function.展开更多
Objective: To evaluate the therapeutic effect of plasma radiofrequency ablation for patients with adenoid hypertrophy and its influence on intraoperative trauma and postoperative immune function. Methods: A total of 8...Objective: To evaluate the therapeutic effect of plasma radiofrequency ablation for patients with adenoid hypertrophy and its influence on intraoperative trauma and postoperative immune function. Methods: A total of 80 patients with adenoid hypertrophy who received treatment from August 2020 to September 2021 were selected as the subjects. The relevant data of the patients were reviewed and divided into two groups according to different treatment forms, namely, 40 patients in the control group received conventional treatment, and 40 patients in the observation group received plasma radiofrequency ablation. The degree of intraoperative trauma, postoperative immune function, ventilation function, symptom score and total effective rate were compared between the two groups. Results: Immediately after the operation, the contents of intraoperative trauma related indexes in the observation group were lower than those in the control group, P<0.05. 24h after operation, the content of immune function indexes in observation group was lower than that in control group, P<0.05;1 week after surgery, the ventilation function indexes of the observation group were better than those of the control group, P<0.05;After treatment, the scores of related clinical symptoms in the observation group were lower than those in the control group, P<0.05;After treatment, the total effective rate of observation group was higher than control group, P<0.05. Conclusion: In the treatment of patients with adenoid hypertrophy, in order to reduce the degree of intraoperative trauma and improve postoperative immune function, plasma radiofrequency ablation can not only improve the curative effect, but also reduce clinical symptoms and improve ventilation function, which is worth promoting.展开更多
Background:In Asia,facial overfilled syndrome(FOS)can arise from iatrogenic causes involving the excessive use of filling materials,as well as physiological causes such as adipose tissue hypertrophy type,age-related t...Background:In Asia,facial overfilled syndrome(FOS)can arise from iatrogenic causes involving the excessive use of filling materials,as well as physiological causes such as adipose tissue hypertrophy type,age-related type,and lacuna type.This study aimed to demonstrate the safety and effectiveness of plasma radiofrequency-assisted microsuction(PRFAMS)for improving the appearance of FOS induced by various causes.Methods:PRFAMS was performed on 84 anatomical regions of 37 female patients(including 12 with physiological causes,6 with hyaluronic acid causes,and 19 with fat causes),aged between 20 and 50 years(mean,35.9 years),who had FOS.Demographic and surgical data were collected retrospectively.Preoperative and postoperative photographs were taken,and satisfaction interviews were conducted at least six months after surgery.Results:All the patients underwent successful surgery under local or intravenous anesthesia.Only four anatomic regions showed noticeable asymmetry postoperatively,requiring a secondary operation.Postoperative skin numbness,muscle paralysis,bruising,and minor contouring irregularities improved significantly within 2–3 weeks of recovery.Additionally,five patients with longer edema periods demonstrated substantial improvement after more than five weeks.No cases of skin necrosis,thermal injury,or other serious complications related to the device or procedure were reported.Ultimately,all patients expressed satisfaction with their outcomes.Conclusion:The PRFAMS technique is a safe and effective method for treating FOS induced by various causes,while minimizing complications and ensuring high patient satisfaction.展开更多
Radiofrequency ablation(RFA)is very effective for eradication of flat Barrett’s mucosa in dysplastic Barrett’s esophagus after endoscopic resection of raised lesions.However,in a minority of the time,RFA may be inef...Radiofrequency ablation(RFA)is very effective for eradication of flat Barrett’s mucosa in dysplastic Barrett’s esophagus after endoscopic resection of raised lesions.However,in a minority of the time,RFA may be ineffective at eradication of the Barrett’s mucosa.Achieving complete eradication of intestinal metaplasia can be challenging in these patients.This review article focuses on the management of patients with dysplastic Barrett’s esophagus refractory to RFA therapy.Management strategies discussed in this review include optimizing the RFA procedure,optimizing acid suppression(with medical,endoscopic,and surgical management),cryotherapy,hybrid argon plasma coagulation,and EndoRotor resection.展开更多
文摘Objective:To evaluate the intraoperative trauma degree and postoperative speech function of low-temperature plasma radiofrequency surgery treatment of children with obstructive sleep apnea hypopnea syndrome (OSAHS).Methods: A total of 118 children with OSAHS were divided into the control group (n=59) who received general surgery and the observation group (n=59) who received the low-temperature plasma radiofrequency surgery according to the random number table. Before operation and 24 h after operation, serum levels of stress hormones, acute phase proteins and inflammatory markers of two groups of children were determined, and the speech function parameter levels were assessed.Results:Before operation, differences in serum contents of stress hormones, acute phase proteins and inflammatory factors as well as speech function parameter levels were not statistically significant between two groups of patients. 24 h after operation, serum stress hormones adrenocorticotropic hormone (ACTH), angiotensin-2 (Ang-2), norepinephrine (NE), cortisol (Cor) contents of observation group were lower than those of control group, serum acute phase proteins haptoglobin (HP), ceruloplasmin (CER), and prealbumin (PA) contents were lower than those of control group, and serum inflammatory factors interleukin-1 (IL-1), interleukin-4 (IL-4), interleukin-27 (IL-27), tumor necrosis factorα(TNF-α) contents were lower than those of control group;speech function parameters NNE and NHR levels of observation group were higher than those of control group.Conclusion:Compared with routine surgery, low-temperature plasma radiofrequency surgery treatment of children with OSAHS causes less surgical trauma and more greatly improves the postoperative speech level.
文摘Objective:To observe and analyze the perioperative nursing effect of plasma radiofrequency ablation for treatment of lumbar disc herniation.Methods:A total of 100 patients with lumbar intervertebral disc herniation received from October 2017 to October 2020 were selected and randomly divided into two groups with 50 cases in each group.The control group received the conventional nursing model and the experimental group received the comprehensive nursing model.The two groups of nursing care were compared on satisfaction,SDS and SAS scores before and after treatment,VAS score and JOA score before and after treatment,and treatment effect.Results:The nursing satisfaction of the experimental group,SDS and SAS scores before and after treatment,VAS score and JOA score before and after treatment,and the treatment effect were better than those of the control group.The difference was statistically significant(P<0.05).Conclusion:The comprehensive nursing model has a significant effect on the perioperative nursing of the treatment of lumbar intervertebral disc herniation by plasma radiofrequency ablation.More popularization and application will help improve the treatment effect.
文摘Objective:To study the intraoperative wound degree as well as postoperative immune function and ventilation function of plasma radiofrequency ablation for the treatment of adenoid hypertrophy.Methods: A total of 118 children with adenoid hypertrophy who underwent surgical treatment in our hospital between May 2013 and April 2016 were selected and divided into the control group (n=59) who accepted conventional endoscopic cutting aspirator and the observation group (n=59) who accepted the plasma radiofrequency ablation according to the single-blind randomized controlled method. Before and after operation, the levels of peripheral blood trauma-related indexes, humoral immunity and complement indexes as well as nasal ventilation function indexes were determined.Results:Before operation, the differences in trauma-related indexes, humoral immunity and complement indexes as well as nasal ventilation function indexes were not statistically significant between two groups of children. Immediately after operation, the peripheral blood SP, PGE2 and CRP contents of observation group were lower than those of control group;24 h after operation, peripheral blood IgG, IgM, IgA, C3 and C4 contents of observation group were lower than those of control group;1 week after operation, TIR and TER levels of observation group were lower than those of control group while NPV and MCSA levels were higher than those of control group.Conclusion:Plasma radiofrequency ablation for treatment of adenoid hypertrophy causes smaller intraoperative wound and has more advantages in optimizing the body's immune function and ventilation function.
文摘Objective: To evaluate the therapeutic effect of plasma radiofrequency ablation for patients with adenoid hypertrophy and its influence on intraoperative trauma and postoperative immune function. Methods: A total of 80 patients with adenoid hypertrophy who received treatment from August 2020 to September 2021 were selected as the subjects. The relevant data of the patients were reviewed and divided into two groups according to different treatment forms, namely, 40 patients in the control group received conventional treatment, and 40 patients in the observation group received plasma radiofrequency ablation. The degree of intraoperative trauma, postoperative immune function, ventilation function, symptom score and total effective rate were compared between the two groups. Results: Immediately after the operation, the contents of intraoperative trauma related indexes in the observation group were lower than those in the control group, P<0.05. 24h after operation, the content of immune function indexes in observation group was lower than that in control group, P<0.05;1 week after surgery, the ventilation function indexes of the observation group were better than those of the control group, P<0.05;After treatment, the scores of related clinical symptoms in the observation group were lower than those in the control group, P<0.05;After treatment, the total effective rate of observation group was higher than control group, P<0.05. Conclusion: In the treatment of patients with adenoid hypertrophy, in order to reduce the degree of intraoperative trauma and improve postoperative immune function, plasma radiofrequency ablation can not only improve the curative effect, but also reduce clinical symptoms and improve ventilation function, which is worth promoting.
文摘Background:In Asia,facial overfilled syndrome(FOS)can arise from iatrogenic causes involving the excessive use of filling materials,as well as physiological causes such as adipose tissue hypertrophy type,age-related type,and lacuna type.This study aimed to demonstrate the safety and effectiveness of plasma radiofrequency-assisted microsuction(PRFAMS)for improving the appearance of FOS induced by various causes.Methods:PRFAMS was performed on 84 anatomical regions of 37 female patients(including 12 with physiological causes,6 with hyaluronic acid causes,and 19 with fat causes),aged between 20 and 50 years(mean,35.9 years),who had FOS.Demographic and surgical data were collected retrospectively.Preoperative and postoperative photographs were taken,and satisfaction interviews were conducted at least six months after surgery.Results:All the patients underwent successful surgery under local or intravenous anesthesia.Only four anatomic regions showed noticeable asymmetry postoperatively,requiring a secondary operation.Postoperative skin numbness,muscle paralysis,bruising,and minor contouring irregularities improved significantly within 2–3 weeks of recovery.Additionally,five patients with longer edema periods demonstrated substantial improvement after more than five weeks.No cases of skin necrosis,thermal injury,or other serious complications related to the device or procedure were reported.Ultimately,all patients expressed satisfaction with their outcomes.Conclusion:The PRFAMS technique is a safe and effective method for treating FOS induced by various causes,while minimizing complications and ensuring high patient satisfaction.
文摘Radiofrequency ablation(RFA)is very effective for eradication of flat Barrett’s mucosa in dysplastic Barrett’s esophagus after endoscopic resection of raised lesions.However,in a minority of the time,RFA may be ineffective at eradication of the Barrett’s mucosa.Achieving complete eradication of intestinal metaplasia can be challenging in these patients.This review article focuses on the management of patients with dysplastic Barrett’s esophagus refractory to RFA therapy.Management strategies discussed in this review include optimizing the RFA procedure,optimizing acid suppression(with medical,endoscopic,and surgical management),cryotherapy,hybrid argon plasma coagulation,and EndoRotor resection.
