低温等离子射频术与高频电刀在早期舌癌治疗中的临床比较  

Clinical comparison of low-temperature plasma radiofrequency operation and high-frequency electrosurgical resection in treatment of early tongue cancer

作　　者：严国鑫[1] 任航[1] YAN Guoxin;REN Hang(Department of Stomatology,Wuxi Second People’s Hospital,Wuxi 214002,Jiangsu,China)

机构地区：[1]无锡市第二人民医院口腔科,江苏无锡214002

出　　处：《外科研究与新技术》2021年第1期42-44,共3页Surgical Research and New Technique

摘　　要：目的研究低温等离子射频术与高频电刀在早期舌癌治疗中的临床比较。方法选择2010年1月—2015年1月收治的48例早期舌癌患者作为研究对象,采用双盲法将其分为对照组(n=24)和观察组(n=24)。对照组给予高频电刀切除术治疗,观察组给予低温等离子射频术治疗,对比两组术中出血量、术后不同时间点疼痛程度[视觉模拟评分量表(VAS)]、术后6个月创面出血概率和术后5个月复发率。结果观察组术中出血量少于对照组,差异有统计学意义(P<0.05);观察组术后1 d、3 d、5 d的VAS评分均低于对照组,差异有统计学意义(P<0.05);两组术后创面概率和复发率差异无统计学意义(P>0.05)。结论早期舌癌患者经低温等离子射频术治疗可减少术中出血量,缓解术后疼痛程度。Objective To compare between low-temperature plasma radiofrequency surgery and high-frequency electrosurgical resection in the treatment of early tongue cancer.Methods Forty-eight patients with early tongue cancer treated from January 2010 to January 2015 were selected as study subjects and divided into a control group(n=24)and an observation group(n=24)by a double-blind method.The control group was treated by high-frequency electrosurgical resection,and the observation group was treated by low-temperature plasma radiofrequency surgery.The intraoperative blood loss amount,the degree of pain at different time points after operation[Visual Analogue Scale(VAS)],the rate of wound bleeding 6 months after operation,and the recurrence rate 5 months after operation were compared between the two groups.Results The intraoperative blood loss amount of the observation group was significantly less than that of the control group(P<0.05);the VAS scores of the observation group were significantly lower than those of the control group 1,3,and 5 d after surgery(P<0.05);the differences in postoperative wound bleeding rate and recurrence rate between the two groups were not significant(P>0.05).Conclusion Low-temperature plasma radiofrequency surgery for early tongue cancer patients can reduce intraoperative blood loss amount and relieve postoperative pain.

关 键 词：早期舌癌 低温等离子射频术 高频电刀切除 出血量 复发率 

分 类 号：R739.86[医药卫生—肿瘤]