显微镜下低温等离子刀扁桃体腺样体切除术  被引量:4

Tonsillectomy and Adenoidectomy by Microtherm Plasma Wand with Microscope

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作  者:刘亚辉[1] 张文娟[1] 詹斌[1] 高凯[1] 叶辉[1] 

机构地区:[1]福建省厦门市第二医院耳鼻咽喉科,361021

出  处:《齐齐哈尔医学院学报》2009年第19期2367-2368,共2页Journal of Qiqihar Medical University

摘  要:目的探讨显微镜下低温等离子刀扁桃体腺样体切除术的优点。方法慢性扁桃体炎并腺样体肥大儿童98例,传统手术组40例(A组),常规切除扁桃体并用电刀止血,在0°鼻内镜监视下用电动吸割器切除腺样体。显微镜下低温等离子刀手术组58例(B组),在显微镜下用低温等离子刀切除扁桃体及腺样体。结果98例患者均治愈出院。两组患者进行mops术后疼痛评分:术后6h,A组5.13±2.04,B组1.80±0.81;术后24h,A组4.53±1.64,B组1.60±0.63;术后72h,A组3.60±0.84,B组0.97±0.62。术后出血:A组15.0%,B组1.7%。结论两种手术方式治疗效果无明显差异,应用显微镜低温等离子刀切除扁桃体及腺样体术中、术后出血明显减少,术后疼痛明显减轻。Objective To Investigate the merit of tonsillectomy and adenoidectomy by microtherm plasma wand with microscope. Methods 98 children patients with chronic tonsillitis were randomly divided into A group (40cases) ,B group (58 cases). Patients in A group were resected tonsils by traditional metbod,and were operated with suction cutterbar under 0°endoscopy; Patients in B group were resected tonsils and adenoid by microtherm plasma wand with microscope. Results All patients were cured; the mops score:group A was 5.13±2.04,group B was 1.80±0.81 past 6 hours after operation, group A was 4.53± 1.64, group B was 1. 604±0.63 past 24 hours,group A was3.60±0.84, group B was 0. 97± 0.62 past 72 hours. Bleeding after operation respectively was 15.0% and 1.7%. Conclusions There isn't difference among the two groups, application of low--temperature plasma cutter microscope tonsils and adenoids removed have less bleeding, and decrease the postoperative bleeding, significantly reduce the postoperative pain.

关 键 词:扁桃体切除术 腺样体切除术 显微镜 低温等离子刀 

分 类 号:R765.9[医药卫生—耳鼻咽喉科] R765.21[医药卫生—临床医学]

 

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