低能量CO_2激光扁桃体切除术的临床研究  

Clinical Study of Carbon Dioxide Laser Tonsillectomy

作　　者：王杰[1] 蒋振华[1] 董钏[1] 梁传余[2] 付启红[1] 刘国旗[1] 尹建平 张珍[1] 

机构地区：[1]绵阳市中心医院耳鼻咽喉头颈外科,四川绵阳621000 [2]四川大学华西医院耳鼻咽喉科,四川成都610041

出　　处：《华西医学》2008年第6期1265-1267,共3页West China Medical Journal

基　　金：四川省卫生厅资助项目(No:050277)

摘　　要：目的:探讨CO2激光切除扁桃体的临床疗效。方法:随机将102例患者分为CO2激光组和对照组,CO2激光组用CO2激光系统切除扁桃体;对照组则采用常规剥离法切除扁桃体,手术均有同一术者完成。观察、记录两侧扁桃体切除所需手术时间、术中出血量、术后疼痛时间及程度、术后创面反应程度、创面修复时间(伪膜出现及脱落时间)、术后再出血、术后术区瘢痕共7项指标。结果:CO2激光组手术时间比对照组短;术中出血量CO2激光组(7.2±2.1)mL,而对照组平均出血量为(92±35)mL;CO2激光组术后疼痛及创面反映程度均轻于对照组;CO2激光组较对照组伪膜出现时间早、脱落晚;两组均无术后再出血病例;术后12周动态观察CO2激光组与对照组术区瘢痕情况,仅对照组出现2例(3.92%)明显术区瘢痕。结论:CO2激光扁桃体切除术,出血量少,术后疼痛小,反应轻,手术方法易掌握,是扁桃体切除术中一种安全、有效、微创的术式。Objective:To investigate the therapeutic effect of carbon dioxide laser tonsillectomy.Methods:In the prospective,randomized study,102 patients were divided into laser group or control group,patients of laser group were cured with carbon dioxide laser tonsillectom,the control group was cured with routine method,all operations are executed by one person.Observe index include operation time,hemorrhage in operation,ache after operation,inflammatory reaction of raw surface,repair time of raw surface,rehaemorrhag...

关 键 词：CO2激光扁桃体切除术 微创 扁桃体旁间隙 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]