低温等离子刀在成人扁桃体切除术中的临床应用评价

发布时间：2018-03-09 16:00

本文选题：扁桃体切除术　切入点：低温等离子刀　出处：《重庆医学》2017年12期 　论文类型：期刊论文

【摘要】：目的探讨低温等离子刀在成人扁桃体切除术中的临床应用疗效,并对其安全性进行评估。方法将130例成人慢性扁桃体炎患者(255侧患病扁桃体)分为两组,A组69例(136侧患病扁桃体),B组61例(119侧患病扁桃体)。A组患者于全身麻醉下行低温等离子刀扁桃体切除术,B组于全身麻醉下行扁桃体传统剥离术。术中对比两组患者手术时间、术中出血量;术区疼痛评分、伪膜完全形成时间。结果 A组、B组手术时间分别为(19.63±8.32)min、(25.74±12.57)min,差异有统计学意义(P0.05);A组、B组术中出血量分别为(5.17±4.29)mL、(8.51±6.63)mL,差异有统计学意义(P0.05);A组与B组白膜完全覆盖时间分别为(40.89±10.52)h、(47.63±11.37)h,差异有统计学意义(P0.05)。A组与B组术后1、2、5d疼痛评分差异有统计学意义(P0.05),术后7d疼痛评分差异无统计学意义(P0.05)。结论低温等离子扁桃体切除术安全、有效、促进患者创面愈合,可广泛应用于临床实践。
[Abstract]:Objective to investigate the clinical application of low-temperature plasma knife in tonsillectomy in adult curative effect, and evaluate its safety. Methods 130 cases of adult patients with chronic tonsillitis (255 side tonsil disease) were divided into two groups, A group of 69 cases (136 sides in tonsils), B group of 61 cases (119 sides in tonsil.A group) patients in general anesthesia for low-temperature plasma knife in tonsillectomy under general anesthesia, B group in the traditional tonsil dissection surgery. In two groups were compared in operation time, amount of bleeding during operation; postoperative pain score, pseudomembranous fully formed time. Results in the A group, B group, the operation time was (19.63 + 8.32 (min). 25.74 + 12.57) min, the difference was statistically significant (P0.05); group A, the amount of bleeding in B group respectively (5.17 + 4.29) mL, (8.51 + 6.63) mL, the difference was statistically significant (P0.05); A group and B group were completely covered albuginea (40.89 + 10.52) h, (47.63 + 11.37) H , the difference was statistically significant (P0.05) difference was statistically significant 1,2,5d pain scores of.A group and B group after operation (P0.05), there was no significant difference in postoperative 7d pain score (P0.05). Conclusion low temperature plasma is safe and effective, tonsillectomy, promote wound healing of patients, which can be widely used in clinical practice.

【作者单位】：内蒙古呼伦贝尔市人民医院耳鼻喉科;内蒙古科技大学包头医学院耳鼻喉科;
【分类号】：R766.9

【参考文献】