进一步规范化推广等离子射频技术在耳鼻咽喉头颈外科中的应用

doi:10.6040/j.issn.1673-3770.1.2020.104

摘要/Abstract

摘要： 等离子射频是一种相对较新的电切割技术,自20多年前被引进耳鼻咽喉头颈外科首先用于下鼻甲射频消融术以来,目前此技术已被广泛应用于本学科多项外科术式,包括扁桃体切除术、腺样体切除术、阻塞性睡眠呼吸暂停综合征治疗的咽喉软组织手术、部分鼻、鼻窦、鼻颅底以及上消化道呼吸道良恶性病变的外科切除等,且其应用范围仍有逐渐扩大的趋势。论文借鉴相关文献及自身临床经验,就此技术在耳鼻咽喉头颈外科应用的现状,主要是其在不同术式中相对于其他切割工具的优劣势进行述评,以期能促进等离子射频辅助手术的进一步规范化推广,为拟开展相关手术的同仁提供参考。

关键词: 等离子射频, 耳鼻咽喉头颈外科, 电切割, 软组织手术, 述评, 规范

Abstract: Radiofrequency coblation is a relatively new electrical cutting technology. Since its first introduction in Department of Otorhinolaryngology, Head and Neck Surgery for inferior turbinate reduction more than 20 years ago, this technology has been employed in a wide range of surgeries, including tonsillectomy, adenoidectomy, some pharyngeal surgeries for treating obstructive sleep apnea syndrome, and surgeries for resecting some benign or malignant disease located in located in nasal cavity, nasal sinus, nasal skull base, and upper aerodigestive tract. On the basis of literatures and our own clinical experience, we reviewed the application status of this technology, focusing on its advantages and limitations in different surgical procedures compared with other cutting devices. The purpose is to further promote the radiofrequency coblation assisted surgery, and to provide some references for physicians who want to perform the surgeries.

Key words: Radiofrequency coblation, Otorhinolaryngology, Head and Neck Surgery head and neck surgery, Electrosurgical excision, Soft tissue surgery, Review, Specification

中图分类号:

R762

肖水芳,张俊波. 进一步规范化推广等离子射频技术在耳鼻咽喉头颈外科中的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 1-8.

XIAO Shuifang, ZHANG Junbo. Further standardized promotion of the application of radiofrequency coblation in otorhinolaryngology, head and neck surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 1-8.

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