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

PDF (PC)

1519

被引次数

5

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
[1] Brigger M T, Cunningham M J, Hartnick C J. Dexamethasone administration and postoperative bleeding risk in children undergoing tonsillectomy[J]. Arch Otolaryngol Head Neck Surg, 2010, 136(8):766-772.
[2] Ozkiri??塂 M, Kapusuz Z, Saydam L. Comparison of three techniques in adult tonsillectomy[J]. Eur Arch Otorhinolaryngol, 2013, 270(3):1143-1147.
[3] 祝江才, 金斌, 林晓, 等. 电凝法扁桃体切除术180例[J]. 山东大学耳鼻喉眼学报, 2010, 24(2):57-59. ZHU Jiangcai, JIN Bin, LIN Xiao, et al. Electro-coagulation tonsillectomy(a report of 180 cases)[J]. J Otolaryngol Ophthalmol Shandong Univ, 2010, 24(2):57-59.
[4] Stavroulaki P, Skoulakis C, Theos E, et al. Thermal welding versus cold dissection tonsillectomy: a prospective, randomized, single-blind study in adult patients[J]. Ann Otol Rhinol Laryngol, 2007, 116(8):565-570.
[5] Allford M, Guruswamy V. A national survey of the anesthetic management of tonsillectomy surgery in children[J]. Paediatr Anaesth, 2009(19):145-152.
[6] Fayoux P, Wood C. Non-pharmacological treatment of post-tonsillectomy pain [J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2014, 131(4):239-241.
[7] Allford M, Guruswamy V. A national survey of the anesthetic management of tonsillectomy surgery in children[J]. Paediatr Anaesth, 2009, 19(2):145-152.
[8] Aksoy E A, Serin G M, Polat S. Comparison of postoperative bleeding between submucosal uvulopalatopharyngoplasty and tonsillectomy[J]. J Res Med Sci, 2014, 19(4):310-313.
[9] 蔡朝阳,郑刚,许小龙. 扁桃体电切术后出血分度与相关因素研究[J]. 中国医药导报, 2014, 11(8):62-65. CAI Zhaoyang, ZHENG Gang, XU Xiaolong. Study of maginitude and related factors of post-tonsillectomy hemorrhage by high-frequency electric surgical knife[J]. Chin Med Herald, 2014, 11(8):62-65.
[10] 侯瑾, 王波涛, 闫静, 等. 儿童扁桃体、腺样体低温等离子切除术后出血的临床研究[J]. 山东大学耳鼻喉眼学报, 2013, 27(2):52-55. HOU Jin, WANG Botao, YAN Jing, et al. Hemorrhage following coblation-assisted tonsillectomy and adenoidectomy in children[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2):52-55.
[1] 王尧,陈静怡,杨颖超,苏开明. 先天性纤维蛋白原缺乏症儿童的扁桃体腺样体切除病例分析1例及文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 77-80.
[2] 常换换,党攀红,胡春燕,王洁. 儿童腺样体切除术后寰枢椎半脱位6例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 110-116.
[3] 罗露,周恩,肖旭平,林志强,方志杰,吕晓虹. 等离子点状激发技术在儿童OSA扁桃体腺样体切除术联合围手术期快速康复中的应用[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 26-30.
[4] 朱慧涛,陈丽倩,陶艳丽. 扁桃体术后口干发生机制及防治研究进展[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 131-135.
[5] 徐冬娇,田秀芬. 内镜下等离子射频消融术治疗儿童先天性梨状窝瘘232例[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 56-62.
[6] 马志强,宋惠芸,于海玲. 扁桃体、腺样体切除术对语音及嗓音影响研究进展[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 120-123.
[7] 李定波,唐志元,邓智毅,曾宪海,张秋航,王再兴. 低温等离子射频消融术治疗药物性鼻炎27例[J]. 山东大学耳鼻喉眼学报, 2022, 36(5): 11-17.
[8] 张丰珍, 王桂香, 魏沄沄, 张亚梅, 赵靖, 王华, 李宏彬, 李晓丹, 张杰. 合并轻度出血性疾病的扁桃体和(或)腺样体切除术患儿围手术期管理[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 66-72.
[9] 师晓丽, 牟鸿. 多学科联合诊治重度儿童阻塞性睡眠呼吸暂停综合征并发肺动脉高压1例[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 116-119.
[10] 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.
[11] 牛子捷,肖洋,王军,马丽晶. 喉乳头状瘤手术治疗的研究进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 96-100.
[12] 石玉琦,佘翠平,张庆丰,刘得龙,焦梦思. 早期声门型喉癌低温等离子射频术后喉部感染诊治经验与教训[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 129-134.
[13] 赵晶,李进让,郭红光. 等离子射频辅助双侧声带后端切断术治疗双侧声带麻痹导致的上气道梗阻患者13例[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 39-45.
[14] 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.
[15] 周恩,肖禹,肖旭平. 等离子射频消融技术在早期声门型喉癌治疗中的应用进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 9-15.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发