低温等离子刀扁桃体切除术与传统扁桃体剥离术治疗成人慢性扁桃体炎临床效果及安全性对比  

Comparison of Clinical Efficacy and Safety of Low Temperature Plasma Tonsillectomy and Traditional Tonsillectomy in the Treatment of Chronic Tonsillitis in Adults

作　　者：薛佳 吉雷 何峰 翟宏祥 XUE Jia;JI Lei;HE Feng;ZHAI Hongxiang(Department of Otolaryngology,Xinghua People's Hospital,Xinghua,Jiangsu Province,225700 China)

机构地区：[1]兴化市人民医院耳鼻咽喉科,江苏兴化225700

出　　处：《中外医疗》2023年第6期37-40,45,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨低温等离子刀扁桃体切除术与传统扁桃体剥离术治疗成人慢性扁桃体炎的疗效及安全性。方法 回顾性分析2020年1月—2022年1月兴化市人民医院耳鼻喉科收治的83例慢性扁桃体炎患者临床资料,其中采用低温等离子刀扁桃体切除术的45例患者设为观察组,采用传统扁桃体剥离术的38例患者设为对照组。对比两组围术期指标、不同时间点疼痛程度[视觉模拟评分法(VAS)]、术后白膜情况、并发症发生率。结果 观察组手术时间[(32.63±6.42)min]长于对照组,恢复正常饮食时间[(9.76±1.89)d]、住院时间[(8.14±1.65)d]短于对照组,术中出血量[(9.59±2.35)mL]低于对照组,差异有统计学意义(t=3.436、2.917、9.750、15.701,P<0.05);两组术后1 d、3 d、5 d时VAS评分对比,观察组低于对照组,差异有统计学意义(P<0.05);观察组术后7 d、14 d时白膜占扁桃体窝的百分比低于对照组,白膜完全消退时间短于对照组,差异有统计学意义(P<0.05);两组并发症发生率对比,观察组(8.89%)较低,差异有统计学意义(P<0.05)。结论 低温等离子刀扁桃体切除术较传统扁桃体剥离术的创伤更小,患者术后疼痛更轻,白膜消退时间短,并发症发生率低,安全可靠。Objective To explore the efficacy and safety of low temperature plasma tonsillectomy and traditional tonsillectomy in the treatment of chronic tonsillitis in adults.Methods Clinical data of eighty-three patients with chronic tonsillitis admitted to department of otolaryngology of Xinghua People's Hospita from January 2020 to January 2022 were retrospectively analyzed,of which forty-five patients receiving low temperature plasma tonsillectomy were set as observation group,and thirty-eight patients receiving traditional tonsillectomy were set as control group.Perioperative indexes,pain degree at different time points[Visual Analog Scale(VAS)],postoperative tunica albumen and complication rate were compared between the two groups.Results The operation time[(32.63±6.42)min]in the observation group was longer than that in the control group,the time to return to normal diet[(9.76±1.89)d],the length of hospital stay[(8.14±1.65)d]was shorter than that in the control group,and the intraoperative blood loss[(9.59±2.35)mL]was lower than that in the control group,and the difference was statistically significant(t=3.436,2.917,9.750,15.701,P< 0.05). VAS scores of the two groups at 1 d, 3 d and 5 d after surgery were lower in the observation group than in thecontrol group, and the difference was statistically significant (P<0.05). The percentage of tunica alba in tonsil fossa inthe observation group was lower than that in the control group at 7 and 14 days after surgery, and the time of completeregression of tunica alba was shorter than that in the control group, and the difference was statistically significant (P<0.05). The complication rate of the two groups was lower in the observation group (8.89%), and the difference was statistically significant (P<0.05). Conclusion Compared with traditional tonsillectomy, low temperature plasma tonsillectomy is safe and reliable with less trauma, less postoperative pain, less time for white membrane to subside and lesscomplication rate.

关 键 词：慢性扁桃体炎 低温等离子刀扁桃体切除术 扁桃体剥离术 疼痛 并发症 

分 类 号：R246.81[医药卫生—针灸推拿学]