山东大学耳鼻喉眼学报

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微型电动切削器与半导体激光在下鼻甲部分切除术的比较

李敏雄, 陈观贵, 何清泉, 翁盛贤   

  1. 广州医学院第二附属医院耳鼻咽喉科, 广东 广州 510260
  • 收稿日期:2005-12-12 修回日期:1900-01-01 出版日期:2006-06-24 发布日期:2006-06-24
  • 通讯作者: 李敏雄

LI Min-xiong,CHEN Guan-chuan,HE Qing-quan,WENG Sheng-xian   

  • Received:2005-12-12 Revised:1900-01-01 Online:2006-06-24 Published:2006-06-24
  • Contact: LI Min-xiong

摘要: 目的:比较微型电动切削器与半导体激光在下鼻甲部分切除术的优缺点。方法:比较45例用微型电动切削器行下鼻甲部分切除术(切削器组)与37例用半导体激光行下鼻甲部分切除术(激光组)的术中出血量,手术时间,早、中期疗效,术后痂皮情况,术后并发症等情况。结果:两种手术方法术中出血量均极少,术后不必填塞鼻腔,切削器组无并发症,激光组并发症也只有2.7%, 差异无统计学意义。切削器组手术时间短,术后基本无痂皮,近期疗效好(术后2周总有效率为71.1%),中期疗效欠理想(术后半年总有效率为77.8%);激光组手术时间稍长,术后痂皮多,近期效果不好(术后2周总有效率只有18.9%, 两组比较χ2=27.01, P<0.01),中远期疗效较好(术后半年总有效率为94.6%, 两组比较χ2=6.42, P<0.05)。结论:两种手术方法术中出血量、术后并发症均极少。切削器组术后早期效果较好,中远期疗效欠理想;而激光组术后早期效果差,中远期疗效满意。

关键词: 微型电动切削器, 半导体激光, 下鼻甲部分切除术, 鼻炎

Abstract: To explore the advantage and disadvantage of microstryker instruments and semiconductor laser in partial turbinectomy. Methods: Fortyfive patients with chronic hypertrophy rhinitis were treated with microstryker instruments (group A), and 37 patients were with semiconductor laser(group B). Operation bleeding and time, shortterm and intermediate effect, postoperative scab and complication were analyzed. Result: Both the two groups had less hemorrhage and did not need nasal packing. The operative time and the scab were less in group A than in group B, and the short term effect in 2 weeks was better in group A than in group B (71.1% vs 18.9%), whereas the intermediate effective rate in group A was not better than that in group B (77.8% vs 94.6% , χ2=6.42, P<0.05). Conclusion: Both the two methods cause little operation bleeding and few postoperative complications, and group A has better shortterm effect, group B has better intermediate effect.

Key words: Semiconductor laser, Partial inferior turbinectomy, Microstryker instruments, Rhinitis

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