高频电刀行UPPP术后出血原因分析  

Analysis of bleeding cause after uvulopalatopharyngoplasty with endotherm knife

作　　者：杨国宁[1] 寸丽花[1] 马亚[1] 段静燕 

机构地区：[1]云南保山市人民医院耳鼻咽喉科,云南保山678000

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第19期1710-1712,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：总结分析高频电刀行UPPP术后发生出血的原因,提出预防处理措施,有效减少术后出血的发生。方法：226例OSAHS成人患者,全身麻醉下用高频电刀行UPPP,观察术后出血情况。结果：226例患者,发生术后出血8例（3.5%）,术后1~2d2例,6~12d6例,经局部压迫止血或双极电凝止血后停止,无严重出血。结论：高频电刀行UPPP手术创伤小,手术快,术中出血较少。少数患者（3.5%）术后并发少量出血,但无严重出血发生。出血多发生在脱膜期。出血原因与术中高频电刀使用技巧、术后假膜脱落、局部炎症、进食不当、患者情绪紧张等有关。Objective：To summary and analyze the bleeding causes after uvulopalatopharyngop!asty（UPPP） with endotherm knife, and preventive measures will be given to effectively reduce postoperation hemorrhage. Method：Two hundred and twenty-six cases of obstructive sleep apnea hypopnea syndrome （OSAHS） adult patients, were carryed out UPPP under general anesthesia with endotberm knife to observe postoperation hemorrhage. Result：Eight cases out of 226 patients or 3.5% occurred postoperation hemorrhage, 2 cases after 1 or 2 days, 6 cases after 6 or 12 days. The postoperation hemorrhage stopped by local compression hemostasis or hi-polar coagulation hemostasis, and no more bleeding occurred. Conclusion： The minimal trauma, quick operation and less-bleeding will be caused by UPPP with endotherm knife. Few patients 3.5 % had a small amount of bleeding after operation, but no serious bleeding occured. Hemorrhage often happened during pseud mucosa failing off period. The bleeding was related with using skill of endotberm knife during operation, postoperation pse-ud mucosa falling off, local inflammation, improper eating and emotional stress of patients.

关 键 词：高频电刀 悬雍垂腭咽成形术 出血 并发症 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]