手术结束前升高血压对减少低温等离子扁桃体切除术后出血的疗效观察  

Analyzing the efficiency of increasing blood pressure before the end of the operation to reduce post coblation assisted tonsillectomy hemorrhage

作　　者：林荣志[1] 洪育明[1] 梁振源[1] 郑朝晖[1] LIN Rongzhi HONG Yuming LIANG Zhenyuan ZHENG Chaohui(Department of Otolaryngology, the Second Clinical Medical College of Fujian Medical University, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, 362000, Chin)

机构地区：[1]福建医科大学第二临床医学院,福建医科大学附属第二医院耳鼻咽喉科,福建泉州362000

出　　处：《中国耳鼻咽喉头颈外科》2017年第1期39-40,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的比较手术结束前升高血压检查扁桃体术腔与常规检查扁桃体术腔两种方法对扁桃体切除术后出血的影响。方法对我院2008年1月~2016年1月行全麻下低温等离子扁桃体切除术的患者1069例,采用回顾性临床病例对照研究方法,分为手术结束前升高血压检查扁桃体术腔组546例(治疗组)与常规检查扁桃体术腔组523例(对照组),比较两组的术后出血发生率、术后出血量等。结果治疗组原发性出血6例,发生率1.10%,继发性出血9例,发生率1.65%。对照组原发性出血17例,发生率3.25%,继发性出血5例,发生率0.96%。扁桃体切除后手术结束前升高血压检查扁桃体术腔,可减低术后原发性出血概率,而与术后继发性出血无明显相关。结论手术结束前升高血压检查扁桃体术腔能有效减少低温等离子扁桃体切除术后原发性出血发生概率。OBJECTIVE To explore the efficiency of reducing post-tonsillectomy hemorrhage by increasing blood pressure before the end of the coblation operation. METHODS Clinical data of 1069 patients with coblation assisted tonsillectomy under general anesthesia between January 2008 and January 2016 were retrospectively reviewed. The treatment group were 546 patients checked the operation cavity after increasing blood pressure before the end of tonsillectomy,while the control group were 523 patients checked the operation cavity with routine procedure without increasing the blood pressure. Post-tonsillectomy hemorrhage incidence and postoperative bleeding volume were compared between the two groups. RESULTS Checking the operation cavity after increasing blood pressure before the end of tonsillectomy can reduce the incidence of postoperative primary hemor rhage（P 〈0.05）, but cannot reduce the incidence of postoperative secondary hemorrhage（P 〉0.05）. CONCLUSION Increasing blood pressure before the end of tonsillectomy can effectively reduce the incidence of postoperative primary hemorrhage.

关 键 词：扁桃体切除术 手术后出血 治疗结果 射频消融术 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]