CAJ | 학술논문

目的评价低温等离子刀在扁桃体切除术中的临床应用效果及安全性.方法将我院收治的126例需行扁桃体切除术的患者随机分为 A、B 两组,每组各63例,A 组予以剥离法扁桃体切除术,B 组予以低温等离子刀扁桃体切除术,对两组的手术时间、术中出血量、术后疼痛评分、切口反应、切口恢复及并发症情况进行比较分析.结果经过统计,B 组手术时间、术中出血量及术后1d、2d 的疼痛疼痛评分显著低于 A 组(P 均<0.05);B 组的术后切口反应情况显著优于 A 组,差异具有统计学意义(P <0.05).两组切口恢复时间差异无统计学意义(P >0.05).A 组2例患者术后1 d 内发生扁桃体窝出血情况,予以缝扎止血后好转.结论低温等离子刀扁桃体切除术具有手术时间短、出血少、术后疼痛轻及并发症发生率等特点,且手术方法简单,易于掌握,临床应用前景广阔.
목적평개저온등리자도재편도체절제술중적림상응용효과급안전성.방법장아원수치적126례수행편도체절제술적환자수궤분위 A、B 량조,매조각63례,A 조여이박리법편도체절제술,B 조여이저온등리자도편도체절제술,대량조적수술시간、술중출혈량、술후동통평분、절구반응、절구회복급병발증정황진행비교분석.결과경과통계,B 조수술시간、술중출혈량급술후1d、2d 적동통동통평분현저저우 A 조(P 균<0.05);B 조적술후절구반응정황현저우우 A 조,차이구유통계학의의(P <0.05).량조절구회복시간차이무통계학의의(P >0.05).A 조2례환자술후1 d 내발생편도체와출혈정황,여이봉찰지혈후호전.결론저온등리자도편도체절제술구유수술시간단、출혈소、술후동통경급병발증발생솔등특점,차수술방법간단,역우장악,림상응용전경엄활.
Objective to evaluate the clinical effect and security of low-temperature plasma knife in tonsillectomy. Methods 126 patients who were treated in our hospital were divided into group A and B with 63 patients in each group. Patients in group A received tonsillectomy by stripping surgery, patients in group B received tonsillectomy by low-temperature plasma knife. The operative time, blood loss, postoperative pain score, incision reaction, incision recovery and complications of the two groups were compared and analyzed. Results The operative time, blood loss and postoperative pain score one and two days after operation of group B was lower than group A significantly(all P<0.05), the postoperative incision reaction of group B was significantly better than in group A, the difference was significant statistically (P<0.05). The incision recovery time of the two groups had no statistical significance(P>0.05). Tonsillar fossa hemorrhage happened in 2 patients in group A one day after operation, the two patients turned for better after bandage. Conclusion Low-temperature plasma knife has a broad prospects in tonsillectomy for its shorter operative time, less bleeding, less postoperative pain, lower complication rate and simple surgical methods.