低温等离子扁桃体切除术与传统术式的对照研究  

Comparative study on the effect of tonsillectomy with low-temperature plasma knife and traditional operation

作　　者：臧艳姿[1] 马崧[1] 万保罗[1] 史保轩[1] 

机构地区：[1]河南省人民医院耳鼻咽喉科,郑州450003

出　　处：《中国眼耳鼻喉科杂志》2015年第1期28-31,共4页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的通过与传统扁桃体剥离术比较，探讨低温等离子扁桃体切除术的临床应用价值。方法将2011年1月～2013年6月本科需行扁桃体切除术的78例患者分成2组：39例等离子刀切除扁桃体作为观察组，39例传统剥离法切除扁桃体作为对照组，比较2组的手术时间，术中出血量，术后疼痛程度、白膜脱落时间及并发症情况。结果低温等离子手术组术中出血量少、手术时间短，术后7d内疼痛程度较轻，与传统手术组比较差异均有统计学意义（P值均〈0．05）。术后脱膜的时间，等离子手术组长于对照组，差异有统计学意义（P〈0．05）。低温等离子手术组术后3例继发出血，而传统手术组术后出现2例原发性出血及1例继发性出血。结论低温等离子系统在扁桃体切除术中的应用是安全、有效、可行的，但术后白膜脱落时间迟，需避免饮食不当造成继发性出血。Objective To investigate the clinical feasibility of applying low-temperature plasma knife in tonsillectomy and compare it with the traditional tonsillectomy. Methods Seventy-eight patients were divided into two groups. Thirty nine patients were treated by low-temperature plasma knife in tonsillectomy （plasma knife group）and 39 patients were treated by traditional tonsillectomy （control group）. The operation time, blood loss, postoperative pain score,the tunica albuginea reaction, tunica albuginea recovery and complications of the two groups were compared and analyzed. Results The operating time, blood loss during operation and the degree of pain in plasma knife group were all significantly lower than those in the traditional group （ P 〈 0.05 ）. The postoperative pain during 7 days with visual analogue scale was lighter. The average peel off time for the tunica albuginea by using low-temperature plasma knife was longer after the operation than by using the traditional method, the difference showed statistical significance（P 〈0.05）. There were 3 secondary hemorrhages occurred in harmonic scalpel group ,while two primary hemorrhage and one secondary hemorrhage occurred in conventional group. Conclusions The application of low-temperature plasma knife in tonsillectomy was safe,efficient and feasible,which had a nice application prospect in the field of otolaryngology. But the tunica albuginea peeled off later, so avoidance of secondary bleeding caused by improper diet was mandatory.

关 键 词：扁桃体切除术 等离子 扁桃体炎 剥离法 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]