CAJ | 학술논문

目的:探讨CO_2激光切除扁桃体的临床疗效.方法:随机将102例患者分为CO_2激光组和对照组.CO_2激光组用CO_2激光系统切除扁桃体;对照组则采用常规剥离法切除扁桃体,手术均由同一术者完成.观察并记录两侧扁桃体切除所需手术时间、术中出血量、术后疼痛时间及程度、术后创面反应程度、创面修复时间(假膜出现及脱落时间)、术后再出血、术后术区瘢痕共7项指标.结果:CO_2激光组手术时间较对照组短;CO_2激光组术中平均出血量(7.2±2.1)ml,而对照组为(92.0±35.0)ml; CO_2激光组术后疼痛及创面反应程度均轻于对照组;CO_2激光组较对照组假膜出现时间早、脱落晚;两组均无术后再出血患者;术后12周动态观察CO_2激光组与对照组术区瘢痕情况,仅对照组有2例(3.92%)出现明显术区瘢痕.结论:CO_2激光扁桃体切除术出血量少,术后疼痛小,反应轻,手术方法易掌握,是扁桃体切除术中一种安全、有效、微创的术式.
목적:탐토CO_2격광절제편도체적림상료효.방법:수궤장102례환자분위CO_2격광조화대조조.CO_2격광조용CO_2격광계통절제편도체;대조조칙채용상규박리법절제편도체,수술균유동일술자완성.관찰병기록량측편도체절제소수수술시간、술중출혈량、술후동통시간급정도、술후창면반응정도、창면수복시간(가막출현급탈락시간)、술후재출혈、술후술구반흔공7항지표.결과:CO_2격광조수술시간교대조조단;CO_2격광조술중평균출혈량(7.2±2.1)ml,이대조조위(92.0±35.0)ml; CO_2격광조술후동통급창면반응정도균경우대조조;CO_2격광조교대조조가막출현시간조、탈락만;량조균무술후재출혈환자;술후12주동태관찰CO_2격광조여대조조술구반흔정황,부대조조유2례(3.92%)출현명현술구반흔.결론:CO_2격광편도체절제술출혈량소,술후동통소,반응경,수술방법역장악,시편도체절제술중일충안전、유효、미창적술식.
Objective:To investigate the therapeutic effect of carbon dioxide laser tonsillectomy.Method:In this prospective,randomized study, One hundred and two patients were divided into laser group or control group. Patients of laser group were cured with carbon dioxide laser tonsillectom,and the control group was cured with routine method. All operations are executed by one person. Observation index included operation time, hemorrhage in operation, ache after operation, inflammatory reaction of raw surface, repair time of raw surface, rehaemorrhagia and scar.Result:Laser group had advantages of less operation time, less hemorrhage, less ache and less inflammatory reaction of raw surface. Laser group have hemorrhage in operation (7.2±2.1)ml, while control group have hemorrhage in operation (92.0±35.0)ml. Laser group have pseudomembrane early but desquamate late.Conclusion:Carbon dioxide laser tonsillectomy is effective to relieve pain, inflammatory reaction and with less time ,it's an safe , efficient and mini-trauma operation.