扁桃体次全切与全切除的临床对比  

A comparative study on the clinical effects of partial tonsillectomy and tonsillectomy

作　　者：李晓东[1] 李凤伟[1] 闫宏岭[1] 王进东[1] 李为[1] 张海生[1] 孙震[1] 

机构地区：[1]河北省唐山市妇幼保健院耳鼻咽喉科,唐山063000

出　　处：《中国中西医结合耳鼻咽喉科杂志》2011年第1期21-22,共2页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨扁桃体次全切除与全部切除的临床效果。方法以扁桃体上隐窝底线为标志,纵行切开扁桃体,再应用鼻窦刨削器切除大部分扁桃体,保留部分扁桃体腺体组织,扁桃体被膜,扁桃体周围间隙。结果扁桃体次全切除与较全部切除比较,两者治愈率无明显差异,手术出血量两者有明显差异,扁桃体次全切除手术出血量少。结论扁桃体次全切除手术方法,达到了"保护扁桃体的免疫功能,去除因扁桃体病变带来的全身伤害"的目的 ,较扁桃体全切手术方法有明显优势。Objective To compare the clinical effects of partial tonsillectomy and tonsillectomy. Methods Partial tonsillectomy and tonsillectomy were used at tonsil body operation. In partial tonsillectomy operation, tonsil body was cut and recessed vertically the tonsil from base line of supratonsillar, and then mostly tonsil was cut under a nasal endoscope using electric planer, but part of the tonsil body, tonsil capsule and interspaces were maintained. Results There were no differences in the effects of partial tonsillectomy and tonsillectomy. Partial tonsillectomy showed a distinct superiority compared with tonsillectomy. Conclusion Compared with tonsillectomy, partial tonsillectomy can generally prove better effect, and reduce unnecessary trauma and achieve minimally invasive surgery, and this makes the patients feel more comfortable. The clinical value is significant especially for children from 2 to 5 years old with the most active immune fianction.

关 键 词：扁桃体次全切除 扁桃体全部切除 鼻窦刨削器 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]