全麻下电刀切除扁桃体55例临床观察  

Clinical Research on Tonsillectomy with Electrocautery under General Anaesthesia

作　　者：宋琦[1] 夏菁[1] 黄静[1] 

机构地区：[1]蚌埠医学院第二附属医院耳鼻喉科,安徽省蚌埠市233040

出　　处：《中华全科医学》2012年第9期1366-1368,共3页Chinese Journal of General Practice

摘　　要：目的探讨电刀切除扁桃体这一新方法的临床实践意义。方法从2005年1月-2011年12月,笔者将符合扁桃体切除手术适应证的110例患者随机编入实验组和对照组,每组55例,实验组使用电刀行扁桃体切除,对照组按传统方法切除扁桃体,所有手术均在全麻下进行。对患者术中出血量、手术时间、术后组织水肿、扁桃体白膜生长情况以及术后疼痛、说话与吞咽等方面进行比较。结果与传统手术方法相比,全麻下电刀切除扁桃体出血量少,手术时间短,术后黏膜无明显水肿,而且白膜生长良好,疼痛术后评分、说话、吞咽等方面的两组比较,差异有统计学意义(P<0.05)。结论全麻下电刀切除扁桃体具有疗效确切、安全,术中出血少,术后疼痛轻,恢复快等优势,值得临床推广。Objective To explore the clinical practice of tonsillectomy with electrocautery. Methods All 110 patients with the indications of tonsillectomy from Jan. 2005 to Dec. 2011 were randomly divided into experimental group and control group（ 55 patients per group）. The experimental group was treated by tonsillectomy with electrocautery,while the control group was treated with conventional tonsillectomy. The general anaesthesia was used for all patients. The intraoperative blood loss, duration of operation, tissue edema after surgery, the conditions of albuginea, patient＇ s pain, speaking and swallowing were compared between two groups. Results Comparing with conventional tonsillectomy, tonsillectomy with electroeautery under general anaesthesia had fewer bleed loss and shorter time of operation. Besides, the edema in mucous membrane was not obvious after surgery and there was better albuginea. The difference about postoperative pain, speaking and swallowing between two groups was significant （ P 〈 0.05 ）. Conclusion Tonsillectomy with electrocautery is an effective and safe method with fewer bleed loss,little pain and rapid recovery after surgery. It is valuable in clinical application.

关 键 词：电刀 扁桃体切除术 全身麻醉 

分 类 号：R766.18[医药卫生—耳鼻咽喉科] R614.2[医药卫生—临床医学]