CAJ | 학술논문

目的探讨鼻内镜下用超声刀治疗鼻出血的可行性和价值.方法前瞻性分析2013年3月至2015年3月我院行鼻内镜下鼻出血微创治疗的患者60例,按手术方式分为三组:超声刀治疗组、射频治疗组及等离子刀治疗组,每组20例.对比分析三组患者的手术时间、术中出血量及术后疼痛评分.结果超声刀组的手术时间、术中出血量均低于射频治疗组及等离子刀组,且差异有统计学意义(P＜0.05).与射频治疗组相比,超声刀组术后6h、24 h、72 h的疼痛评分更低(P＜0.05);超声刀组术后6h的疼痛评分低于等离子刀组(P＜0.05),但术后24 h、72 h的疼痛评分两组差异无统计学意义(P＞0.05).三组患者的平均疼痛时间无统计学差异(P＞0.05).结论超声刀可用于鼻出血的治疗,其优点是出血少、手术时间短、术后疼痛较轻,有较好的临床应用及推广价值.
목적 탐토비내경하용초성도치료비출혈적가행성화개치.방법 전첨성분석2013년3월지2015년3월아원행비내경하비출혈미창치료적환자60례,안수술방식분위삼조:초성도치료조、사빈치료조급등리자도치료조,매조20례.대비분석삼조환자적수술시간、술중출혈량급술후동통평분.결과 초성도조적수술시간、술중출혈량균저우사빈치료조급등리자도조,차차이유통계학의의(P＜0.05).여사빈치료조상비,초성도조술후6h、24 h、72 h적동통평분경저(P＜0.05);초성도조술후6h적동통평분저우등리자도조(P＜0.05),단술후24 h、72 h적동통평분량조차이무통계학의의(P＞0.05).삼조환자적평균동통시간무통계학차이(P＞0.05).결론 초성도가용우비출혈적치료,기우점시출혈소、수술시간단、술후동통교경,유교호적림상응용급추엄개치.
Objective To investigate the feasibility and efficacy of ultrasonic scalpel through rhinoscope in the treatment of epistaxis.Methods 60 cases of epistaxis in our hospital from March 2013 to March 2015 were randomly divided into 3 groups,20 cases in each group,underwent endoscopic hemostasis by ultrasonic scalpel (US),radiofrequency (RF) and plasma knife (PK) respectively.Operative time,the amount of bleeding and postoperative pain score of three groups were compared.Results Operative time,the amount of bleeding in US group were less than those in RF group and PK group (P＜0.05).Pain score in US group 6 h,24 h,72 h after operation were lower than those in RF group;pain score in US group 6 h after operation was lower than that in PK group (P＜0.05),while there were no statistically significant differences in pain score 24 h,72 h after operation between two groups (P＞0.05).There was no statistically significant difference in the average pain time among three groups (P＞0.05).Conclusions Ultrasonic scalpel can be applied in epistaxis treatment with the advantages of less bleeding,shorter operative time,and slight postoperative pain,worthy of clinical application and promotion.