Ellman射频刀在唇腺手术中的应用  

Application of Ellman Radiofrequency Coblation in Labial Gland Operation

作　　者：李岩[1] 于晓萍[2] 王庆[2] 

机构地区：[1]复旦大学附属中山医院青浦分院口腔科,上海201700 [2]复旦大学附属中山医院口腔科,上海200032

出　　处：《中国临床医学》2013年第4期592-593,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:比较Ellman射频刀与传统手术刀在唇腺手术中的手术效果。方法:将2012年9月—2013年2月在复旦大学附属中山医院行唇腺手术的60例患者随机分成Ellman射频刀组(n=32)和传统手术刀组(n=28)。分别评价2组患者手术时间、术后反应和术后囊肿复发情况,并进行统计学分析。结果:传统手术刀组患者平均手术时间(24.75±3.39)min,Ellman射频刀组平均手术时间(14.97±3.51)min,差异有统计学意义(P<0.01)。术后1 d复诊,Ellman射频刀组患者黏膜肿胀和术后疼痛百分比分别为62.6%(20/32)、56.2%(18/32),明显低于传统手术刀组[100%(28/28)及82.1%(23/28)],(P均<0.01);术后1周复诊,患者均未复发黏液性囊肿。结论:与传统手术刀相比,应用Ellman射频刀进行唇腺手术安全可靠、手术可控性高、手术时间短、出血少、术后反应轻、囊肿复发率低。Objective：To compare the effects of labial gland operation with Ellman radiofrequency coblation and scalpel.Methods：A total of 60 patients under went labial gland operation in Zhongshan Hospital,Fudan University,from September 2012 to February 2013.They were randomly divided into Ellman radiofrequency coblation group（n=32）and scalpel group（n=28）.The time of operation,the rates of complications and the cyst recurrence post operation between the two groups were studied and statistically analyzed.Results：The Average time of operation in scalpel group was（24.75±3.39）min,and that was（14.97± 3.51）min in Ellman radiofrequency coblation group.The rates of mucosal swelling and postoperation pain in Ellman radiofrequency coblation group were 62.6%（20/32）and 56.2%（18/32）,respectively,at 1 d after operation,which were significantly lower than those in the scalpel group[100%（28/28）and 82.1%（23/28）],（Pall0.01）.There was no mucous cyst recurrence at 1 week after operation.Conclusions：Compared with scalpel,Ellman radiofrequency coblation is easy to use in labial gland operation with less operative time and bleeding and lower rate of cyst recurrence after operation.

关 键 词：Ellman射频刀 唇腺手术 复发 

分 类 号：R782.7[医药卫生—口腔医学]