单极电刀与低温等离子刀切除OSAHS患儿肥大扁桃体的临床疗效比较  

Comparison of clinical efficacy between tonsillectomy by single pole electrotome and low-temperature plasma in resection of hypertrophic tonsils in children with OSAHS

作　　者：陈迪 吴舜 谢元元 许雪波 Chen Di;Wu Shun;Xie Yuanyuan;Xu Xuebo(Department of Otorhinolaryngology,Wuzhou Workers’Hospital,Wuzhou 543000,China)

机构地区：[1]广西梧州市工人医院耳鼻咽喉科,梧州543000

出　　处：《新医学》2020年第5期387-390,共4页Journal of New Medicine

摘　　要：目的比较单极电刀与低温等离子刀切除阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿肥大扁桃体的临床疗效。方法选取因OSAHS需要切除肥大扁桃体的60例患儿,分为单极电刀组(单极电刀电凝模式切除)和等离子刀组(低温等离子刀切除),每组各30例。记录2组患儿手术时间、术中出血量、术后疼痛评分、术后创面评价及白膜脱落时间,并进行对比分析。结果等离子刀组术后1 d和3 d疼痛评分低于单极电刀组(P均<0.05),单极电刀组白膜脱落时间短于等离子刀组(P <0.05),2组患儿的手术时间、术中出血量、术后创面评价比较差异均无统计学意义(P均> 0.05),2组患儿术后均未见出血。结论采取单极电刀或低温等离子刀切除OSAHS患儿肥大扁桃体各有优劣,单极电刀切除术后白膜脱落早,等离子刀切除术后疼痛轻,单极电刀在临床使用中操作更便捷。Objective To compare the clinical efficacy between tonsillectomy by single pole electrotome and low-temperature plasma in the resection of hypertrophic tonsils in children with obstructive sleep apnea-hypopnea syndrome(OSAHS). Methods A total of 60 children with OSAHS who were scheduled to undergo tonsillectomy were recruited and divided into the single pole electrotome(n = 30) and low-temperature plasma groups(n = 30). The operation time, intraoperative hemorrhage volume, postoperative pain score, postoperative wound evaluation and falling time of white membrane were recorded and statistically analyzed. Results The 1-, 3-day postoperative pain score in the plasma group was significantly lower than that in the electrotome group(both P < 0.05). The falling time of white membrane in the electrotome group was significantly shorter than that in the plasma group(P < 0.05). The operation time, intraoperative hemorrhage volume and postoperative wound evaluation did not significantly differ between two groups(all P > 0.05). No postoperative bleeding was observed in two groups. Conclusions Tonsilectomy by single pole electrotome and low-temperature plasma has respective advantages and disadvantages in the resection of hypertrophic tonsils in OSAHS children. The falling time of white membrane in the single pole electrotome group is shorter than that in the low-temperature plasma group. The low-temperature plasma causes less pain compared with the single pole electrotome. The single pole electrotome is more convenient than the low-termperature plasma.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 儿童 扁桃体切除术 单极电刀 低温等离子 疗效 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]