山东大学耳鼻喉眼学报 ›› 2021, Vol. 35 ›› Issue (2): 16-21.doi: 10.6040/j.issn.1673-3770.1.2020.105
冯晨,郭瑞祥,王岩
FENG Chen, GUO Ruixiang, WANG Yan
摘要: 精准微创的科学理念推动耳鼻咽喉头颈外科手术方式不断进步,等离子射频消融术的应用与发展为典型代表。分析等离子射频消融术在儿童阻塞性睡眠呼吸暂停手术(扁桃体腺样体切除术)中的使用特点,包括操作简便,手术时间短;术野清晰,出血量少;温度较低,避免热灼伤且创面光滑平整,术后疼痛轻,恢复正常饮食较早;术后白膜形成早,但在炎性细胞和纤维组织基础上增加了变性的胶原薄层,故白膜较厚,脱落时间延后,有延迟出血可能。建议对儿童扁桃体切除术实行个体化治疗,提倡扁桃体囊内(部分)切除术,保留患儿免疫力。等离子射频消融技术优势明显,但仍需在临床实践中不断深入探索,使其应用前景愈来愈广阔。
中图分类号:
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