改良缝合在扁桃体剥离中的应用  

Application of improved suture in tonsillar dissection

作　　者：倪红丽[1] 钟磊[1] 陆中友[1] 杨丹[1] 曹玲[1] Ni Hongli;Zhong Lei;Lu Zhongyou;Yang Dan;Cao Ling(Department of Otolaryngology ,the Fourth Hospital People's of Zigong ,Zigong,Siehuan,643000,China)

机构地区：[1]四川省自贡市第四人民医院耳鼻咽喉科,四川自贡643000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2018年第6期458-461,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探讨改良缝合在扁桃体剥离中的应用效果。方法选取2016年4月～2017年8月到我院行扁桃体剥离术的患者120例,按照随机数字表法分为观察组和对照组,各60例,两组均接受相同扁桃体剥离术治疗,手术结束后,观察组给予创面改良缝合,对照组不予缝合处理。对比两组主要临床指标、术后疼痛评分、术腔反应程度及术后并发症的发生情况。结果观察组手术创面恢复时间明显低于对照组,差异有统计学意义(P<0.05);观察组术后12 h、24 h及48 h疼痛评分均明显低于对照组,差异有统计学意义(P<0.05);观察组术后2 d术腔反应程度显著低于对照组,差异有统计学意义(P<0.05);观察组术后伤口破溃或扩大、伤口延迟愈合、术后出血发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论扁桃体剥离术中给予创面改良缝合,能够有效控制术中出血,促进创面快速愈合,改善患者术后疼痛,降低术后出血及并发症的发生率,值得临床推广应用。Objectives To evaluate the effect of improved suture in tonsillar dissection.Methods 120cases in our hospital underwent tonsillectomy patients from April 2016to August 2017were randomly divided into observation group and control group,with 60cases each group.The two groups were given the same treatment of tonsillectomy. Based on this,the observation group was given improved wound suture.The basic operation index,postoperative pain score,reaction of operation cavity and postoperative complications before and after treatment were compared between the two groups.Results The wound healing time in the observation group was significantly lower than that of the control group,and the difference was statistically significant (P<0.05).The pain score postoperative 12h,24h and 48h in the observation group were significantly compared with the control group were significantly lower than those of the control group,and the difference was statistically significant (P<0.05).The reaction of operation cavity after two days in the observation group was significantly lower than that in the control group,and the difference was statistically significant (P<0.05).The incidence of rupture or enlargement of the wound,delayed wound healing, and postoperative bleeding in the observation group were significantly lower than those in the control group,and the difference was statistically significant (P<0.05).Conclusion Tonsillectomy improved suture wound can promote rapid wound healing,improve postoperative pain,and intraoperative hemostasis,with less postoperative bleeding and complication rate,worthy of clinical application.

关 键 词：慢性扁桃体炎 扁桃体剥离 改良缝合 疼痛 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]