利用一次性不粘双极电凝行扁桃体切除术的可行性分析  

Feasibility analysis of tonsillectomy with disposable non-stick bipolar electrocoagulation

作　　者：刘晓静 程向荣[1] 顾晓娜 张鹏[1] LIU Xiaojing;CHENG Xiangrong;GU Xiaona;ZHANG Peng(Otolaryngology Department,Jiangsu Province Hospital on Integration of Chinese and Western Medicine,Nanjing 210028,China)

机构地区：[1]江苏省中西医结合医院耳鼻咽喉科,江苏南京210028

出　　处：《临床医学研究与实践》2021年第15期99-100,115,共3页Clinical Research and Practice

摘　　要：目的探讨应用一次性不粘双极电凝行扁桃体切除术的可行性。方法收集拟行双侧扁桃体切除术患者60例,采用随机数字表法将其分为A组和B组,每组30例。A组行一次性不粘双极电凝扁桃体切除术,B组行传统扁桃体切除术。比较两组的手术时间、术中出血量、术后咽部水肿评分及术后咽部疼痛评分。结果A组的手术时间显著短于B组,术中出血量显著少于B组(P<0.05);两组的术后咽部水肿评分比较,差异不显著(P>0.05)。A组术后第1~4天的VAS评分低于B组(P<0.05);两组术后第5天的VAS评分比较,差异不显著(P>0.05)。结论采用一次性不粘双极电凝切除扁桃体具有手术时间短、术中出血少、术后疼痛轻的优点,是切除扁桃体较为安全、有效的手术方式。Objective To explore the feasibility of tonsillectomy with disposable non-stick bipolar electrocoagulation.Methods A total of 60 patients undergoing bilateral tonsillectomy were collected and divided into group A and group B according to random number table method,with 30 cases in each group.The group A received disposable non-stick bipolar electrocoagulation tonsillectomy,while the group B received traditional tonsillectomy.The operation time,intraoperative blood loss,postoperative pharyngeal edema score and postoperative pharyngeal pain score were compared between the two groups.Results The operation time of the group A was significantly shorter than that of the group B,and the intraoperative blood loss was significantly less than that of the group B(P<0.05);there was no significant difference in postoperative pharyngeal edema score between the two groups(P>0.05).The VAS scores of the group A were lower than those of the group B at 1-4 d after operation(P<0.05);there was no significant difference in VAS score at the 5th day after operation between the two groups(P>0.05).Conclusion The disposable non-stick bipolar electrocoagulation for tonsillectomy has the advantages of short operation time,less intraoperative bleeding and postoperative pain.It is a safe and effective method for tonsillectomy.

关 键 词：扁桃体切除术 一次性不粘双极电凝 咽部水肿 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]