CAJ | 학술논문

目的：通过与传统扁桃体剥离术比较，探讨低温等离子扁桃体切除术的临床应用价值。方法将2011年1月～2013年6月本科需行扁桃体切除术的78例患者分成2组：39例等离子刀切除扁桃体作为观察组，39例传统剥离法切除扁桃体作为对照组，比较2组的手术时间，术中出血量，术后疼痛程度、白膜脱落时间及并发症情况。结果低温等离子手术组术中出血量少、手术时间短，术后7d内疼痛程度较轻，与传统手术组比较差异均有统计学意义（P值均＜0．05）。术后脱膜的时间，等离子手术组长于对照组，差异有统计学意义（P＜0．05）。低温等离子手术组术后3例继发出血，而传统手术组术后出现2例原发性出血及1例继发性出血。结论低温等离子系统在扁桃体切除术中的应用是安全、有效、可行的，但术后白膜脱落时间迟，需避免饮食不当造成继发性出血。（中国眼耳鼻喉科杂志，2015，15：28-31）
목적：통과여전통편도체박리술비교，탐토저온등리자편도체절제술적림상응용개치。방법장2011년1월～2013년6월본과수행편도체절제술적78례환자분성2조：39례등리자도절제편도체작위관찰조，39례전통박리법절제편도체작위대조조，비교2조적수술시간，술중출혈량，술후동통정도、백막탈락시간급병발증정황。결과저온등리자수술조술중출혈량소、수술시간단，술후7d내동통정도교경，여전통수술조비교차이균유통계학의의（P치균＜0．05）。술후탈막적시간，등리자수술조장우대조조，차이유통계학의의（P＜0．05）。저온등리자수술조술후3례계발출혈，이전통수술조술후출현2례원발성출혈급1례계발성출혈。결론저온등리자계통재편도체절제술중적응용시안전、유효、가행적，단술후백막탈락시간지，수피면음식불당조성계발성출혈。（중국안이비후과잡지，2015，15：28-31）
Objective To investigate the clinical feasibility of applying low-temperature plasma knife in tonsillectomy and compare it with the traditional tonsillectomy .Methods Seventy-eight patients were divided into two groups.Thirty nine patients were treated by low-temperature plasma knife in tonsillectomy ( plasma knife group ) and 39 patients were treated by traditional tonsillectomy (control group).The operation time, blood loss, postoperative pain score,the tunica albuginea reaction , tunica albuginea recovery and complications of the two groups were compared and analyzed.Results The operating time, blood loss during operation and the degree of pain in plasma knife group were all significantly lower than those in the traditional group (P<0.05).The postoperative pain during 7 days with visual analogue scale was lighter .The average peel off time for the tunica albuginea by using low-temperature plasma knife was longer after the operation than by using the traditional method , the difference showed statistical significance (P<0.05). There were 3 secondary hemorrhages occurred in harmonic scalpel group ,while two primary hemorrhage and one secondary hemorrhage occurred in conventional group . Conclusions The application of low-temperature plasma knife in tonsillectomy was safe ,efficient and feasible ,which had a nice application prospect in the field of otolaryngology .But the tunica albuginea peeled off later ,so avoidance of secondary bleeding caused by improper diet was mandatory .