儿童腭扁桃体传统剥离术与双极电凝切除术的临床对比

发布时间：2018-02-28 22:02

本文关键词： 扁桃体切除术传统剥离术双极电凝　出处：《青海大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:对比分析儿童腭扁桃体传统剥离术与双极电凝切除术两种术式手术时间、术中出血量及术后假膜脱落时间的不同。方法:临床选取青海大学附属医院耳鼻咽喉科2015年7月~2016年12月因慢性扁桃体炎引起的小儿阻塞性睡眠呼吸暂停综合征的患儿37例,并拟住院行腭扁桃体切除术。每位患儿均随机选取一侧行传统剥离术,采用传统的剥离子及圈套器完整切除扁桃体;另一侧行双极电凝切除术,应用双极电凝镊完整切除扁桃体。根据术式的不同将其分为传统组与电凝组。观察并记录两种术式切除扁桃体的手术时间、术中出血量以及术后假膜脱落时间的指标值,进行统计学分析,得出结论。结果:通过两种术式的比较得出如下的结果:传统组手术时间为10.5±1.5min、电凝组手术时间为7.7±1.6min,电凝组切除扁桃体的手术时间较传统组短;传统组手术过程中的出血量为13.4±2.2ml,电凝组手术过程中的出血量为7.4±1.6ml,电凝组术中的出血量较传统组少;传统组手术后假膜完全脱落时间为11.1±1.5d,电凝组手术后假膜完全脱落时间为13.5±1.5d,电凝组的手术后假膜脱落时间较传统组长。两种术式的手术时间、术中出血量以及术后假膜脱落时间三种指标值差异均存在统计学意义(P0.05)。结论:双极电凝切除扁桃体手术时间短,术中的出血量少,电凝术式占优势;传统剥离术假膜脱落时间短,创面愈合快,传统术式占优势。
[Abstract]:Objective: to compare and analyze the operation time between traditional peeling of palatal tonsil and bipolar electrocoagulation in children. Methods: 37 cases of obstructive sleep apnea syndrome caused by chronic tonsillitis in Department of Otolaryngology, affiliated Hospital of Qinghai University from July 2015 to December 2016 were selected. Each child was randomly selected to perform traditional dissection with traditional dissection and snare device for complete tonsillectomy, while bipolar electrocoagulation was performed on the other side of palatine tonsillectomy. The tonsils were removed with bipolar electric coagulation forceps. The tonsils were divided into traditional group and electrocoagulation group according to the different operation methods. The operation time, the amount of blood lost during the operation and the time of pseudomembranous abscission were observed and recorded. Results: the operation time was 10.5 卤1.5 min in the traditional group and 7.7 卤1.6 min in the electric coagulation group. The operation time of tonsillectomy in the electrocoagulation group was shorter than that in the traditional group. The amount of bleeding during operation was 13.4 卤2.2 ml in the traditional group and 7.4 卤1.6 ml in the electrocoagulation group. The amount of bleeding in the electrocoagulation group was less than that in the traditional group. The time of complete shedding of pseudomembrane was 11.1 卤1.5 days in the traditional group and 13.5 卤1.5 days in the electrocoagulation group. There were significant differences in blood loss during operation and the time of pseudomembranous abscission after operation (P 0.05). Conclusion: the operation time of tonsillectomy with bipolar electrocoagulation is short, the amount of bleeding during operation is less, and the electrocoagulation method is dominant. The traditional exfoliation of pseudomembranous membrane is short, the wound healing is fast, and the traditional operation is dominant.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R766.9

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