胸外科长柄电刀在会厌囊肿切除术中的应用

doi:10.6040/j.issn.1673-3770.0.2014.216

摘要/Abstract

摘要： 目的探讨应用胸外科长柄电刀切除会厌囊肿的疗效.方法将66例会厌囊肿患者随机分成胸外科长柄电刀切除组(实验组)及常规摘除组(对照组),每组33例.两组均在气管插管静脉复合全麻下行支撑喉镜下手术,比较二组术中出血量、手术时间、术后疼痛程度、术后疗效.结果实验组与对照组比较,前者术中出血量明显减少,手术时间明显缩短,术后疗效明显好,差异具有统计学意义(P<0.05);两者术后疼痛程度比较,差异无统计学意义(P>0.05).结论采用胸外科长柄电刀在支撑喉镜下切除会厌囊肿具有术中视野清晰、出血量少、手术时间快短、术后疗效好等优点.

关键词: 会厌囊肿, 支撑喉镜, 电刀

Abstract: Objective To investigate the impact of long handled electric knife in epiglottis cyst excision. Methods 66 cases of epiglottic cysts were randomly divided into the experimental group and control group. Each group had33 cases and all the cases were operated under general anesthesia. The operation time, bleeding loss during operation, postoperative pain, postoperative recovery were compared between the two groups. Results Compared with the control group, the amount of bleeding during operation were obviously reduced, while the operation time was shortened andthe postoperative curative effect was better in the experimental group (P<0.05); there was no significant difference in the postoperative pain between the two groups, (P>0.05). Conclusion Long handled electrotome in epiglottis cyst excision shows many advantages, such as good exposure, less bleeding and operation time, better postoperative effect. This method warrants recommendation.

Key words: Electric knife, Epiglottic cyst, Laryngoscope

中图分类号:

R766.9

罗松. 胸外科长柄电刀在会厌囊肿切除术中的应用[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 40-42.

LUO Song. Application of long handled electric knife in epiglottic cyst resection[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 40-42.

参考文献

[1] 陈凯,李雪芬,林煌,等.显微支撑喉镜下会厌囊肿切除术122例临床分析 [J].临床耳鼻咽喉头颈外科杂志,2012,26(12):566-567. CHEN Kai, LI Xuefen, LIN Huang, et al. Clinical analysis of 122 cases of microscope support laryngoscope epiglottic cyst excision[J]. J Clin Otorhinolaryngol Head Neck Surgery, 2012, 26(12):566-567.
[2] Pradeep S, Sohail A M. A new approach for the treatment of large epiglottic cysts using nasoendoscopes[J]. Kuwait Medical Journal, 2007, 39(1):59-61.
[3] Koga T, Shmoda O, Terasaki H. Tracheal intubati on using a guide wire for a 5-month-old baby with epiglottis cyst[J]. Masui, 2004, 53(1):79-81.
[4] 周华军,仲济龙,任应鹏.布地奈德雾化吸入在喉显微手术后的治疗作用[J].中国中西医结合耳鼻咽喉科杂志,2007,15(5):383-384. ZHOU Huajun, ZHONG Jilong, REN Yingpeng. The effect of budesonide inhalation in the treatment of laryngeal microscopic operation[J]. Chin J Otorhinolaryngol Integrative Med, 2007, 15(5):383-384.
[5] 于健,王立冬,薛桂芬.布地奈德治疗急性会厌炎[J].中国耳鼻咽喉头颈外科,2008,15(1):055-056. YU Jian, WANG Lidong, XUE Guifen. Budesonide in the treatment of acute epiglottitis[J]. Chin Arch Otolaryngol-Head Neck Surgery, 2008, 15(1):055-056.
[6] 金永德,崔春莲,姜宪,等.纤维喉镜下YAG激光治疗会厌囊肿225例[J].山东大学耳鼻喉眼学报,2006,20(4):380-381. JIN Yongde, CUI Chunlian, JIANG Xian, et al. Fiber laryngoscope under YAG laser treatment of epiglottic cysts in 225 cases[J]. J Otolaryngol Ophthalmol Shandong University, 2006, 20(4):380-381.
[7] 于志良,王卫卫,王明华.耳鼻喉综合动力系统切除会厌囊肿23例[J].山东大学耳鼻喉眼学报,2008,22(3):278-279. YU Zhiliang, WANG Weiwei, WANG Minghua. The ear nose throat comprehensive power system excision epiglottis cyst in 23 cases[J]. J Otolaryngol Ophthalmol Shandong University, 2008, 22 (3):278-279.
[8] 褚金涛,鞠婷婷.支撑喉镜电视内镜下低温等离子射频治疗会厌囊肿11例[J].山东大学耳鼻喉眼学报,2011,25(3):278-279. ZHU Jintao, JU Tingting. Laryngoscope TV endoscopic radiofrequency treatment of epiglottic cysts in 11 cases[J]. J Otolaryngol Ophthalmol Shandong University, 2011, 25(3):278-279.
[9] 王军,马莉,高刚,等.二氧化碳激光治疗会厌囊肿42例[J].山东大学耳鼻喉眼学报,2012,26(1):46-47. WANG Jun, MA Li, GAO Gang, et al. Carbon dioxide laser in the treatment of epiglottic cysts in 42 cases[J]. J Otolaryngol Ophthalmol Shandong University, 2012, 26 (1):46-47.

相关文章 15

[1]	龙婷,刘雨薇,王生才,张杰,李艳珍,张雪溪,刘悄吟,刘志勇,孙念,倪鑫. 内镜CO₂激光烧灼术治疗273例儿童先天性梨状窝瘘的临床分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 125-130.
[2]	沈倪美,钱茂华,金加欣,秦阳,王军,吴莺,高刚. 超声刀在扁桃体肿瘤切除术中的应用体会[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 62-66.
[3]	冯世强,姜宪. 可调式支撑喉镜辅助治疗难治性扁桃体术后出血[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 67-69.
[4]	孙浩,张杰,杨扬,倪树仁,吴宇华,刘原虎,倪鑫. 宫腔镜在声门暴露困难喉部手术中的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(3): 92-95.
[5]	顾晓娜,程向荣,张鹏,朱亮,滕华,王勇,胡晓燕,刘晓静. 支撑喉镜下喉显微手术患者的体位改进[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 77-81.
[6]	徐进敬,胡京华,吴元庆,邓毅,喻唯唯. CO₂激光显微手术在喉癌前病变和早期声门型喉癌中的应用[J]. 山东大学耳鼻喉眼学报, 2020, 34(3): 129-133.
[7]	鞠丽娴,李井成,夏克玉,董伟达. 鼻内镜下联合自制角度喉钳切除声门暴露困难声带息肉23例[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 116-118.
[8]	许雯,汤玮,余少卿,李少辉,葛荣明. 平阳霉素治疗咽喉部血管瘤[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 62-64.
[9]	徐向前,石孟志. 支撑喉镜下自制改良电刀切除会厌囊肿43例[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 117-118.
[10]	李树华,石洪金,吴大海,黑仁轶. 可视喉镜等离子系统切除会厌舌根良性病变71例[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 53-57.
[11]	马玲国,郑朝攀,周敬淳,张博,龚桃根,张云静. CO₂激光治疗声门型喉癌远期疗效分析[J]. 山东大学耳鼻喉眼学报, 2016, 30(5): 98-100.
[12]	毕致,肖锋,朱鹃芬. 侧开式喉镜下喉动力系统切除会厌囊肿46例[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 111-112.
[13]	董世亮, 战明明. “预防性缝扎法”在扁桃体切除术中的止血效果[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 90-91.
[14]	陈艳丽, 朱忠寿, 宋鹏. 电子喉镜下吸凝器切除会厌囊肿37例[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 92-93.
[15]	周敬淳, 柯朝阳, 马玲国, 张菁菁, 张伟, 冯春英. 等离子射频消融术与常规剪切术治疗会厌囊肿疗效比较[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 43-46.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed