国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
23期
3553-3556
,共4页
扁桃体肥大%低温等离子射频%低通气指数%疼痛视觉评分
扁桃體肥大%低溫等離子射頻%低通氣指數%疼痛視覺評分
편도체비대%저온등리자사빈%저통기지수%동통시각평분
Tonsillar hypertrophy%Low-temperature plasma radiofrequency%Apnea hypopnea index%Visual analogue scale score
目的 探讨等离子消融联合传统结扎术在治疗扁桃体肥大中的疗效.方法 选取舌扁桃体三度肥大合并睡眠通气障碍患者300例,记录术前低通气指数后分为等离子消融止血术组(A组,130例)和传统结扎止血术组(B组,170例).比较两组术中出血量、术后第1天患者疼痛视觉(VAS)评分、术后30天手术并发症.结果 术中出血量B组比A组多[(28±1.23)mlvs.(10±1.55)ml],VAS评分B组比A组低[(3±0.60)vs.(5±0.52)],两组1个月后随访低通气指数(AHI)都较前改善,术后5天内再出血A组有10例、B组2例.结论 等离子射频术具有操作简单,出血少,手术时间短,视野清晰的临床优势.等离子射频消融切除扁桃体联合传统结扎止血术出血并发症发生率低,患者术后疼痛减轻.
目的 探討等離子消融聯閤傳統結扎術在治療扁桃體肥大中的療效.方法 選取舌扁桃體三度肥大閤併睡眠通氣障礙患者300例,記錄術前低通氣指數後分為等離子消融止血術組(A組,130例)和傳統結扎止血術組(B組,170例).比較兩組術中齣血量、術後第1天患者疼痛視覺(VAS)評分、術後30天手術併髮癥.結果 術中齣血量B組比A組多[(28±1.23)mlvs.(10±1.55)ml],VAS評分B組比A組低[(3±0.60)vs.(5±0.52)],兩組1箇月後隨訪低通氣指數(AHI)都較前改善,術後5天內再齣血A組有10例、B組2例.結論 等離子射頻術具有操作簡單,齣血少,手術時間短,視野清晰的臨床優勢.等離子射頻消融切除扁桃體聯閤傳統結扎止血術齣血併髮癥髮生率低,患者術後疼痛減輕.
목적 탐토등리자소융연합전통결찰술재치료편도체비대중적료효.방법 선취설편도체삼도비대합병수면통기장애환자300례,기록술전저통기지수후분위등리자소융지혈술조(A조,130례)화전통결찰지혈술조(B조,170례).비교량조술중출혈량、술후제1천환자동통시각(VAS)평분、술후30천수술병발증.결과 술중출혈량B조비A조다[(28±1.23)mlvs.(10±1.55)ml],VAS평분B조비A조저[(3±0.60)vs.(5±0.52)],량조1개월후수방저통기지수(AHI)도교전개선,술후5천내재출혈A조유10례、B조2례.결론 등리자사빈술구유조작간단,출혈소,수술시간단,시야청석적림상우세.등리자사빈소융절제편도체연합전통결찰지혈술출혈병발증발생솔저,환자술후동통감경.
Objective To investigate the clinical effects of plasma radiofrequency combined with ligation on tonsillectomy.Methods The clinical data of 300 patients under tonsillectomy from January 2011 to June 2014 was given prospective study for analysis.Apnea hypopnea index (AHI) was studied by sleep monitoring in pre-operation as well as post-operation.All patients were divided into two groups,130 patients (group A) applied on plasma radiofrequency coagulation,while 170 patients (group B) applied on plasma radiofrequency coagulation and ligation.Intraoperative blood loss and postoperative visual analogue scale (VAS) were analyzed for two groups.Results Intraoperative blood loss of group B was (28 ± 1.23) ml vs (10 ± 1.55) ml for group A,VAS for group B was (3 ± 0.60) vs (5 ± 0.52) for group A ; after 5 days the complications of group B were less than those of group A (2/170 vs 10/130).Both two groups AHI showed improvement in the research.Conclusion Treatment of tonsillar hypertrophy and improved hypopnea index showed no statistical significant difference between the two groups; postoperative VAS scores in patients of group B was lower,plasma radiofrequency had the advantages of simple operation,less bleeding,short operation time and clinical advantages of clear vision.With the plasma radiofrequency being combined with traditional hemostasis by ligation of bleeding,it leads to less pain and a low rate of complications.
