等离子射频消融与传统结扎止血术在治疗舌扁桃体肥大中的临床效果分析  

Analysis on clinical effects of plasma radiofrequency combined with ligation on tonsillectomy

作　　者：黄纪逸[1] 吴树浓[1] 关睿聪 

机构地区：[1]江门市人民医院耳鼻喉科,529000

出　　处：《国际医药卫生导报》2014年第23期3553-3556,共4页International Medicine and Health Guidance News

摘　　要：目的探讨等离子消融联合传统结扎术在治疗扁桃体肥大中的疗效。方法选取舌扁桃体三度肥大合并睡眠通气障碍患者300例，记录术前低通气指数后分为等离子消融止血术组（A组，130例）和传统结扎止血术组（B组，170例）。比较两组术中出血量、术后第1天患者疼痛视觉（VAS）评分、术后30天手术并发症。结果术中出血量B组比A组多[（28±1．23）ml vs．（10±1．55）ml]，VAS评分B组比A组低[（3±0．60） vs．（5±0．52）]，两组1个月后随访低通气指数（AHI）都较前改善，术后5天内再出血A组有10例、B组2例。结论等离子射频术具有操作简单，出血少，手术时间短，视野清晰的临床优势。等离子射频消融切除扁桃体联合传统结扎止血术出血并发症发生率低，患者术后疼痛减轻。Objective To investigate the clinical effects of plasma radiofrequency combined with ligation on tonsillectomy. Methods The clinical data of 300 patients under tonsillectomy from January 2011 to June 2014 was given prospective study for analysis. Apnea hypopnea index （AHI） was studied by sleep monitoring in pre-operation as well as post-operation. All patients were divided into two groups, 130 patients （group A） applied on plasma radiofrequeney coagulation, while 170 patients （group B） applied on plasma radiofrequency coagulation and ligation. Intraoperative blood loss and postoperative visual analogue scale （VAS） were analyzed for two groups. Results Intraoperative blood loss of group B was （28 ± 1.23） ml vs （10±1.55） ml for group A, VAS for group B was （3 ± 0.60） vs （5 ± 0.52） for group A ; after 5 days the complications of group B were less than those of group A （2/170 vs 10/130）. Both two groups＇ AHI showed improvement in the research. Conclusion Treatment of tonsillar hypertrophy and improved hypopnea index showed no statistical significant difference between the two groups; postoperative VAS scores in patients of group B was lower, plasma radiofrequency had the advantages of simple operation, less bleeding, short operation time and clinical advantages of clear vision. With the plasma radiofrequency being combined with traditional hemostasis by ligation of bleeding, it leads to less pain and a low rate of complications.

关 键 词：扁桃体肥大 低温等离子射频 低通气指数 疼痛视觉评分 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]