全麻下单极电刀切除扁桃体90例疗效观察  

Tonsillectomy with monopolar cautery under general anesthesia( 90 cases report)

作　　者：吴允刚[1] 刘黎明 宋健梅[3] 庞太忠[1] 李晓瑜[1] 张辉[1] 杨欣欣[1] 丁德涛[1] 张永红[1] 孙聚兴[1] 赵玉凤[1] 

机构地区：[1]济宁医学院附属医院耳鼻咽喉头颈外科,山东济宁272029 [2]巨野县中医院耳鼻喉科,山东巨野274900 [3]济宁医学院附属医院手术室,山东济宁272029

出　　处：《山东大学耳鼻喉眼学报》2013年第6期74-76,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：山东省自然科学基金(ZR2010HL045);济宁医学院青年基金;济宁市科技局基金共同资助

摘　　要：目的探讨全麻下运用单极电刀实施扁桃体切除术的临床疗效。方法将行扁桃体切除术的患者180例随机平均分为两组,术前全身麻醉,实验组(A组)行单极电刀全程切除双侧扁桃体,对照组(B组)采用传统扁桃体剥离术,对两组的手术时间、出血量、白膜脱离时间及术后疼痛程度等进行比较。结果 A组术中出血量、手术时间较B组明显减少,术后疼痛时间也较B有所降低,但是白膜脱落时间稍长。结论全麻下单极电刀扁桃体切除术有操作简便、视野清楚、手术时间短、术中出血极少等优势。Objective To investigate the tonsillectomy with monopolar cautery under general anesthesia. Methods 180 patients were divided into two groups ： experimental group A and control group B （ 90 patients per group）. The experi- mental group was treated with monopolar cantery, while the control group was treated with conventional tonsillectomy. The operating time, hemorrhage during the operation, the condition of white membrane and postoperative pain were ana- lyzed. Results Compared with the control group , the experimental group presented with less hemorrhage, shorter operating time, but longer time of white membrane （ P 〈 O. 05 ）. Conclusion Tonsillectomy with monopolar cautery is effective and safe, with minimal invasion, few bleeding, rapid recovery and little adverse effect. It is highly recommen- ded in the practice.

关 键 词：单极电刀 扁桃体切除术 扁桃体剥离术 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]