低温等离子与常规电刀在软腭黏膜良性病变切除中的应用效果比较  

Comparison of application effects between low-temperature plasma and conventional electric knife in removal of benign lesions of soft palate mucosa

作　　者：时恩来 方怡 SHI En-lai;FANG Yi(Yancheng First Hospital,Affiliated Hospital of Nanjing University Medical College,the First people's Hospital of Yancheng,Yancheng 224000,China)

机构地区：[1]南京大学医学院附属盐城第一医院、盐城市第一人民医院口腔科,224000

出　　处：《中国实用医药》2024年第2期50-53,共4页China Practical Medicine

摘　　要：目的 对比低温等离子与常规电刀在软腭黏膜良性病变切除中的应用效果。方法 将15例采用低温等离子切除的软腭黏膜良性病变患者作为研究组,另将15例采用常规电刀切除的软腭黏膜良性病变患者作为对照组。对比两组病变面积、手术时间、术中出血量、术后视觉模拟评分法(VAS)评分、6个月复发情况及术后继发出血、血肿形成情况。结果 研究组病变面积、手术时间及术中出血量分别为(6.65±2.61)cm^(2)、(21.87±5.19)min、(16.47±4.14)ml,对照组分别为(6.52±2.25)cm^(2)、(22.00±5.14)min、(16.87±3.66)ml;两组的病变面积、手术时间及术中出血量均无明显差异(P>0.05)。研究组术后1、3、5 d的VAS评分分别为(3.87±1.13)、(2.80±0.77)、(1.80±0.68)分,对照组分别为(6.73±1.28)、(5.60±1.06)、(3.20±1.86)分;两组术后1、3、5 d的VAS评分均逐渐降低,且研究组均明显低于对照组,差异显著(P<0.05)。对照组术后出现1例(6.67%)创面继发出血(予局部麻醉下行出血点电凝止血后出血停止)、2例(13.33%)软腭血肿情况(未引起呼吸及吞咽困难,冷流饮食及局部冰敷后血肿逐渐吸收);研究组术后未出现创面继发出血及软腭血肿情况;两组创面继发出血及软腭血肿形成率无差异(P>0.05)。两组患者随访6个月,均未见软腭病变局部复发情况。结论 在软腭黏膜病变切除手术中应用低温等离子能明显减轻术后疼痛反应,降低术后继发出血及血肿的发生,临床效果确切,在经济情况允许下可作为临床首选应用。Objective To compare the clinical effect of low-temperature plasma and conventional electric knife in the removal of benign lesions of soft palate mucosa.Methods 15 patients with benign lesions of soft palate mucosa who underwent low-temperature plasma resection were selected as the study group,and15 patients with benign lesions of soft palate mucosa who underwent conventional electrosurgical resection were selected as the control group.The lesion area,operation time and intraoperative bleeding volume,visual analogue scale (VAS) score,recurrence of the disease within 6 months,postoperative secondary bleeding and hematoma were compared between the two groups.Results The lesion area,operation time and intraoperative bleeding volume were (6.65±2.61) cm^(2),(21.87±5.19) min and (16.47±4.14) ml in the study group,and (6.52±2.25) cm^(2),(22.00±5.14) min and (16.87±3.66) ml in the control group,respectively.There were no significant differences in lesion area,operation time and intraoperative bleeding volume between the two groups (P>0.05).The VAS scores at 1,3 and 5 days after operation in the study group were (3.87±1.13),(2.80±0.77) and (1.80±0.68) points,respectively,while those in the control group were (6.73±1.28),(5.60±1.06) and (3.20±1.86) points,respectively.The VAS scores of the two groups at 1,3 and 5 days after operation were gradually decreased,and the study group was significantly lower than the control group,the difference was significant (P<0.05).In the control group,there were 1 case (6.67%) of secondary hemorrhage on the traumatic surface (bleeding stopped after electrocoagulation of the bleeding point under local anesthesia) and 2 cases (13.33%) of hematoma of the soft palate (no respiratory and swallowing difficulties were caused,and the hematoma was gradually resorbed after a cold-flow diet and local ice packs).There was no secondary bleeding and soft palate hematoma in the study group.There was no difference in the incidence rate of secondary bleeding and soft palate hematoma between the

关 键 词：低温等离子 常规电刀 软腭黏膜良性病变 临床效果 

分 类 号：R782[医药卫生—口腔医学]