山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (1): 70-73.doi: 10.6040/j.issn.1673-3770.0.2015.345

• 论著 • 上一篇    下一篇

三种不同扁桃体切除术疗效比较

龚明杰1,刘侃2,张磊1,闫飚1,邹嘉平1,李伟忠1   

  1. 1.南通大学医学院附属无锡第三人民医院耳鼻咽喉科, 江苏 无锡 214000;
    2.潍坊医学院附属平度人民医院耳鼻咽喉科, 山东 平度 266700
  • 收稿日期:2015-08-17 出版日期:2016-02-16 发布日期:2016-02-16
  • 通讯作者: 刘侃. E-mail:610416680@qq.com E-mail:mjgong2003sy@163.co
  • 作者简介:龚明杰. E-mail:mjgong2003sy@163.co

Comparison of the efficacy of three different techniques in tonsillectomy.

GONG Mingjie1, LIU Kan2, ZHANG Lei1, YAN Biao1, ZOU Jiaping1, LI Weizhong   

  1. 1. Department of Otolaryngology, Wuxi Third Peoples Hospital Affiliated to Medical School of Nantong University, Wuxi 214000, Jiangsu, China;2. Department of Otolaryngology, Pingdu Peoples Hospital Affiliated to Weifang Medical School, Pingdu 266700, Shandong, China
  • Received:2015-08-17 Online:2016-02-16 Published:2016-02-16

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摘要： 目的 探讨比较冷器械切除+缝合术、单极电凝切除术、等离子射频术三种不同手术方法切除扁桃体的疗效。 方法 将扁桃体切除术患者分为三组,冷器械切除+缝合术(A组)65例;单极电凝切除术(B组)40例;等离子射频切除术(C组)38例。记录扁桃体切除手术总时间、术中出血量、疼痛评分,术后复查时观察扁桃体白膜状况。 结果 A、B、C三组的平均手术时间分别为58.8 min、27.0 min、23.7 min;术中平均出血量分别为34.2 mL、16.1 mL、12.5 mL;术后3 h和术后第1天的疼痛评分之间,差异均有统计学意义。 结论 与冷器械切除+缝合术和单极电凝切除术相比,等离子射频术切除扁桃体费用较高,但其手术时间短,术中出血量少,术后疼痛程度小。

关键词: 等离子射频, 扁桃体切除术, 单极电凝切除术

Abstract: Objective To compare the clinical efficacy of cold dissection, monopolar diathermy dissection and radiofrequency ablation in tonsillectomy. Methods Patients undergone tonsillectomy were divided into 3 groups: cold dissection + suture group(group A, n=65), unipolar electric coagulation resection group(group B, n=40), plasma radiofrequency resection group(group C, n=38). The operation time, intraoperative blood loss, pain score, and postoperative albuginea of all groups were recorded and compared. Results The average operation time and intraoperative blood loss of group A, B and C were(58.8, 27.0 and 23.7)min,(34.2, 16.1 and 12.5)mL, respectively. There was significant difference in postoperative pain score 3 hour and 1 day after surgery. Conclusion Compared with cold dissection and monopolar diathermy dissection, radiofrequency ablation is more expansive, but it needs shorter operation time and causes less intraoperative bleeding and pain.

Key words: Unipolar coagulation resection, Plasma radiofrequency, Tonsillectomy

中图分类号: 

  • R766.9
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