CAJ | 학술논문

目的：比较小年龄儿童不同的扁桃体手术方式对患者术中、术后的影响。方法：随机抽取120例因扁桃体肥大住院扁桃体手术的患者，分为等离子切除单侧扁桃体(单侧组)、等离子射频消融减容扁桃体(减容组)、等离子切除部分扁桃体(部分组)三组。观察三种不同手术方式的手术时间和出血量、术后患者咽部疼痛情况、恢复正常饮食时间，术后随访1个月~1年。结果：三组患儿的上气道梗阻症状消失，扁桃体等离子手术时间短、出血量少、术后疼痛轻，部分组打鼾复发率低于其他两组。结论：扁桃体等离子部分切除术可有效解除上呼吸道阻塞症状，出血量少，术后疼痛轻，又可保留部分扁桃体免疫功能，有更低的打鼾复发率，是低龄儿童较为理想的治疗方法。
목적：비교소년령인동불동적편도체수술방식대환자술중、술후적영향。방법：수궤추취120례인편도체비대주원편도체수술적환자，분위등리자절제단측편도체(단측조)、등리자사빈소융감용편도체(감용조)、등리자절제부분편도체(부분조)삼조。관찰삼충불동수술방식적수술시간화출혈량、술후환자인부동통정황、회복정상음식시간，술후수방1개월~1년。결과：삼조환인적상기도경조증상소실，편도체등리자수술시간단、출혈량소、술후동통경，부분조타한복발솔저우기타량조。결론：편도체등리자부분절제술가유효해제상호흡도조새증상，출혈량소，술후동통경，우가보류부분편도체면역공능，유경저적타한복발솔，시저령인동교위이상적치료방법。
Objective:To compare the influences of intraoperative and postoperative in young children with different coblation tonsillectomy methods. Method:120 patients with chornic tonsillar hypertrophy were randomly divided into three groups,coblation plus single tonsillectomy(single group),coblation plus tissue volume reduction(reduction group),coblation plus partial intracapsular tonsillectomy(partial group).The operation time,blood loss,postoperative pain and return to normal diet time were evaluated.All the patients were followed up for 1 months to 1 year after operation.Result:After the operation,all symptoms of upper respiratory tract obstruction disappeared.The operation time,blood loss,and postoperative pain of coblation were significantly less.The intracapsular tonsillectomy in partial group had lower recurrence rate than the other 2 groups.Conclusion:Coblation treatment of partial tonsillectomy can relieve the symptoms of the upper respiratory tract obstruction,it also can reduce bleeding volume,relieve pain and keep the immune function of partial tonsils.It has lower recurrence rate,so it is a comparatively ideal therapeutic way in young children.