低温等离子融切术与扁桃体剥离术临床应用比较.PDF

·54 · doi 10.3969/j.issn. 1674-4500.2017.01.16 分子影像学分子影像第年第4040卷第卷第11期期 临床研究 低温等离子融切术与扁桃体剥离术临床应用比较低温等离子融切术与扁桃体剥离术临床应用比较 李 荧，赵宏辉，张 虹 广州开发区医院耳鼻咽喉科，广东 广州 510730 摘要：目的 比较分析低温等离子刀扁桃体切除术与传统扁桃体剥离术的疗效。方法 将80例慢性扁桃体炎患者随机分为传统 扁桃体剥离术（传统手术组）和低温等离子刀扁桃体切除术（低温等离子手术组），并根据年龄段再次分2 组。分析4 组在手术时 间、术中出血量、术后疼痛时间有无差异。结果 传统手术组与低温等离子手术组在手术时间、术中出血量、术后疼痛时间上差 异有统计学意义（P0.05）；低温等离子组中低龄组与高龄组手术时间、术中出血量、术后疼痛时间上差异亦有统计学意义（P 0.05）。结论 低温等离子刀扁桃体切除术较传统扁桃体剥离术手术时间短，术中出血少，术后疼痛轻，恢复快，安全性高，尤其适 用于儿童患者。 关键词：低温等离子；扁桃体剥离术；扁桃体融切术 Effects of low-temperature coblation-assisted and traditional dissection tonsillectomy LI Ying, ZHAO Honghui, ZHANG Hong Department of Hals, Nasen und Ohrenheilkunde, Guangzhou Development District Hospital, Guangzhou 510730, China Abstract: Objective To compare convention dissection with coblation by low-temperature plasma radiofrequency in tonsillectomy intra operation and after operation. Methods Eighty patients were divided into convention dissection group and low-temperature group, each group was divided into two groups by age. Operation time, bleeding volume, postoperative pain time were recorded, and the differences among these 4 groups were analyzed. Results Coblation groups had a significant shorter operative time, less bleeding intraoperative, and a better pain sore after operation than the traditional method groups. At the same time, the teenages had a better effect than the elders in coblation group. Conclusion Comparing with traditional dissection, coblation by low-temperature plasma is easy to perform with less bleeding intraoperative, shorter opration time, less pain postoperative, coblation by low-temperature plasma in tonsillectomy expectively better in teenages group. It is worthy of popularization and application in children. Key words: low temperature plasma radiofrequency; tonsillectomy; coblation 慢性扁桃体炎和扁桃体生理