超声刀在扁桃体切除术中的应用再评价  

The Revaluation Of Ultrasound Knife In Tonsillectomy

作　　者：林彬[1] 王挥戈[1] LIN Bin, WANG Huige(Department of Otorhinolaryngology ＆ Head and Neck Surgery, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong, Chin)

机构地区：[1]广东汕头大学医学院第一附属医院耳鼻咽喉头颈外科,515041

出　　处：《中国中西医结合耳鼻咽喉科杂志》2018年第1期42-44,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的评价分析超声刀在扁桃体切除术中应用。方法在我科拟实行扁桃体切除术的病人,分成超声刀组及对照组,分别采用超声刀方法及改良的扁桃体剥离术,然后分别用对患者的术中出血量、住院时间、咽痛持续时间、术后出血几率、正常饮食恢复时间4种指标对2组患者做出评价。结果超声刀组在术中出血量少于对照组,但在住院时间、咽痛持续时间、正常饮食恢复时间差于对照组,2组术后出血几率比较无统计学意义。结论超声刀在扁桃体切除术中优缺点均极为明显,需要严格把握手术适应症,谨慎应用。Objective To revalue the advantages and disadvantages of ultrasound knife assisted in tonsillectomy. Methods 197 patients were randomly divided into ultrasound knife group （95cases） and control group （102cases）. The patients in ultrasound knife group received tonsillectomy by uhrasonnd knife while the patients in control group received tonsillectomy by traditional methods. Then we evaluated the two groups with intraoperative blood loss, the median length of hospital stay, pharyngalgia duration, probability of postoperative bleeding and recovery time of full diet. Results The amount of bleeding in ultrasound knife group was lower than the control group, while the median length of hospital stay, pharyngalgia duration and recovery time of full diet in ultrasound group were longer than control group. The probabilities of postoperative bleeding were no different in groups. Conclusion The advantages and disadvantages of ultrasound knife assisted in tonsillectomy were sharp, so we must be cautious to use ultrasound knife in tonsillectomy.

关 键 词：超声刀 扁桃体切除术 慢性扁桃体炎 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]