单极电刀凝切与传统剥离儿童扁桃体深面血管管径测量对比的研究  

A comparative study on the measurement of deep surface vascular diameters of tonsils between monopole electrocoagulation and conventional tonsillectomy for children

作　　者：卢美美 马健[2] 李建胜[2] 曹汉海[2] 牟军伟[2] 崔鹏[2] 朱凤娟[2] 王艳[2] 乔秀军[2] 

机构地区：[1]潍坊医学院 [2]山东省日照市人民医院耳鼻咽喉科,山东日照276826

出　　处：《中国医药科学》2014年第4期15-18,共4页China Medicine And Pharmacy

摘　　要：目的对儿童双侧扁桃体分别采用单极电刀凝切与传统剥离切除两种术式,利用Image-proplus(IPP)图像分析软件观察术后扁桃体深面血管管径的变化,为选择扁桃体术中及术后止血方法提供理论依据。方法对80例需行双侧扁桃体切除术的患儿,以随机方法对一侧扁桃体采用单极电刀凝切术切除,另一侧扁桃体采用传统剥离术切除。按照手术方式将其分为电刀凝切组与传统剥离组,取两组扁桃体标本的深面将其包埋、切片,HE染色后,在光学显微镜下用图像分析软件IPP测量扁桃体动脉,静脉血管管径,并对两组数据进行统计分析。结果电刀凝切组的扁桃体深面静脉小于传统剥离组的深面静脉,差异有统计学意义(P<0.05);电刀凝切组与剥离组的扁桃体深面动脉管径相比,差异无统计学意义(P>0.05)。结论电刀凝切组的扁桃体深面静脉血管管径小于传统剥离组,电刀凝切组的扁桃体深面动脉管径与传统剥离组的血管管径相比,差别不大。Objective To provide theoretical evidence for selecting hemostasis method during and after surgery via two surgical methods of monopole electroeoagulation and conventional tonsillectomy which were applied respectively to remove bilateral tonsils for children and via image analysis software of Image-proplus （IPP） which was used to observe the postoperative changes of deep surface vascular diameters of tonsils. Methods 80 children patients who needed to be received tonsillectomy of bilateral tonsils were randomly received monopole electrocoagulation for one side of tonsils and received conventional dissection for the other side. The patients were assigned to the group of electrocoagulation and the group of conventional dissection.Deep surfaces of the two groups＇tonsil samples were selected,embedded,sectioned,and dyed by HE.The arterial and venous diameters of tonsils were measured via IPP under optical microscope.The statistics obtained from the two groups were then analyzed. Results The diameter of deep surface veins in the group of electroeoagulation was shorter than that in the group of conventional dissection,and the difference was statistically significant （P 〈 0.05）.The difference of the diameters of deep surface arteries between the two groups was not statistically significant （P 〉 0.05）. Conclusion The diameter of deep surface veins of tonsils in the group of eleetrocoagulation was shorter than that in the group of conventional dissection, and the difference of the diameters of deep surface arteries between the two groups was not significant.

关 键 词：扁桃体切除术 电凝法 剥离法 血管管径 儿童 

分 类 号：R766[医药卫生—耳鼻咽喉科]