山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (2): 57-.

• 论文 • 上一篇    下一篇

电凝法扁桃体切除术180例

祝江才,金斌,林晓,张佳,李克勇,孙雅静,董频   

  1. 上海交通大学附属上海市第一人民医院耳鼻咽喉-头颈外科,上海 200080
  • 收稿日期:2009-12-10 修回日期:2010-03-05 出版日期:2010-04-16 发布日期:2010-04-16
  • 通讯作者: 董频。Email:dongpin64@yahoo.com.cn
  • 作者简介:祝江才(1970- ),男,副主任医师,主要从事阻塞性睡眠呼吸暂停综合症与头颈肿瘤方面的研究。Email:hhb@ecepdi.com

Electrocoagulation tonsillectomy (a report of 180 cases)

ZHU Jiangcai, JIN Bin, LIN Xiao, ZHANG Jia, LI Keyong, SUN Yajing, DONG Pin   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Shanghai First People′s Hospital, Shanghai Jiaotong University,Shanghai 200080, China
  • Received:2009-12-10 Revised:2010-03-05 Online:2010-04-16 Published:2010-04-16

摘要:

目的  探讨电凝法扁桃体切除术的可行性。方法  对180例接受电凝法扁桃体切除术(A法)、35例接受低温等离子射频扁桃体切除术(B法)的患者资料进行回顾性研究。结果  所有患者手术顺利完成,术中出血量实施A法组约5~50mL,平均10mL; B法组约5~200mL,平均为50mL。1例B法组的患者出现术后扁桃体窝出血,两组均没有出现术后扁桃体窝感染或咽旁间隙感染患者。结论  电凝法扁桃体切除术术中出血较少,可使手术更易完成。术后出血机会减少,不会增加术后并发症的发生。

关键词: 扁桃体切除术;电凝法;低温等离子射频法

Abstract:

Objective  To investigate the feasibility of electrocoagulation tonsillectomy. Methods  180 patients who underwent electrocoagulation tonsillectomy (method A), and 35 patients who underwent coblation tonsillectomy (method B) were retrospectively studied. Results  The bleeding volume measured during operation was 5-50mL (10mL on average) in method A group, and 5-200mL (50mL on average) in method B group. There was one patient with postoperative bleeding in tonsillar fossa in method B group and no patients with postoperative infection in neither groups. Conclusion  Electrocoagulation tonsillectomy is effective and safe, with less volume of bleeding during the surgery. At the same time, there is a decrease in the chance of postoperative bleeding and no increase in the incidence of postoperative complications. Electrocoagulation tonsillectomy is feasible.

Key words: Tonsillectomy; Electrocoagulation; Coblation

中图分类号: 

  • R766.18
[1] 马亚琳,翟明伟,姜克亮,满敏. 扁桃体巨大结石1例[J]. 山东大学耳鼻喉眼学报, 2010, 24(2): 66-66.
[2] 任永红. 扁桃体周脓肿不同时期手术36例[J]. 山东大学耳鼻喉眼学报, 2008, 22(6): 574-574.
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