学龄儿童低温等离子射频辅助扁桃体切除术的疗效分析  

Curative effect of low temperature radio frequency plasma-assisted tonsillectomy for school age children

作　　者：奉颖[1] 孙玉梅[1] 陈实[1] 李新颖[1] 

机构地区：[1]海军总医院耳鼻咽喉头颈外科,北京100048

出　　处：《军医进修学院学报》2010年第11期1097-1098,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的比较7-14岁学龄儿童行低温等离子射频辅助扁桃体切除术与常规剥离法扁桃体切除术的优缺点。方法随机选择需进行双侧扁桃体切除术的7-14岁学龄儿童患者100例,分成等离子组和对照组(常规剥离法),等离子组在全麻下使用美国Arthrocare公司的Ent,Coblatorll等离子系统治疗仪,连接Evac70T&A刀头,切除扁桃体;对照组采用常规剥离法切除扁桃体,术者及助手均为同一人,比较手术时间、术中出血量、术后的出血及疼痛情况、术后住院时间及平均住院费用。结果等离子组手术时间、术中总出血量、术后出现出血的概率、术后疼痛、住院时间均少于对照组,平均住院费用高于对照组。结论等离子射频辅助扁桃体切除术安全有效,疼痛减少,但费用较高。Objective To compare the advantages and disadvantages of low temperature radio frequency plasma-assisted tonsillectomy and conventional tonsillectomy for school age children at the age of 7-14 years. Methods One hundred school age children at the age of 7-14 years who were going to undergo bilateral tonsillectomy were randomly selected and divided into plasma group and control group （conventional tonsillectomy）. Tonsillectomy was performed in plasma group using the Evac70T ＆ A cutter connected to the Ent, Coblatorll plasma treatment system （Arthrocare Corporation, USA） under general anesthesia. Conventional tonsillectomy was performed in control group by the same surgeon. Operation time, intraoperative and postoperative bleeding, postoperative pain and hospital stay time, as well as average cost, were compared between the two groups. Results The operation time, intraoperative and postoperative bleeding, postoperative pain and hospital stay time were less in plasma group than in control group. The average cost was higher in plasma group than in control group. Conclusion Radio frequency plasma-assisted tonsillectomy is a safe and effective procedure with less pain and a higher cost compared with conventional tonsillectomy.

关 键 词：扁桃体切除术 儿童 

分 类 号：R766.18[医药卫生—耳鼻咽喉科]