儿童扁桃体挤切术和剥离术的对比分析  

Guillotine and Dissection Tonsillectomy in Children

作　　者：戴建军[1] 王云 田力军 刘荔[1] 邓艳丽[1] 

机构地区：[1]华北煤炭医学院附属医院耳鼻咽喉科,河北唐山063000 [2]河北省兴隆县医院耳鼻咽喉科,河北兴隆067300 [3]河北省唐山市开平区医院,河北唐山063021

出　　处：《实用临床医学（江西）》2002年第4期89-90,共2页Practical Clinical Medicine

摘　　要：目的 :探讨扁桃体切除的术式选择。方法 :对 12 36例使用挤切法或剥离法行扁桃体切除术的儿童进行回顾性研究。剥离术在全麻下进行 ,挤切术用局麻或表麻。结果 :两种术式发生出血的最高比例是在术后 4 .5h内 ,行剥离术组中约 1.6 %的病人出现严重出血体而需外科处理 ,但挤切术组未发现现象。结论 :经正确选择的儿童在局麻下行扁桃体挤切术安全、省时。Objective:Tonsillectomy as an outpatient or short term stay procedure, is becoming increasingly popular.Methods:A retrospective study was performed on 1236 children who underwent tonsillectomy either with snare method. The dissection method was performed under general anaesthesia,but the guillotine method was performed either under local anesthesia or surface anesthesia.Results:Generally speaking, control of bleeding required no special intervention in the guillotine method, but ligation and electrocauterization in 35% of the patient in the dissection group achieved homeostasis. The greatest percentage of hemorrhage in both methods occurred within the first 4.5 postoperative hours. There was a 1.6% percent incidence of severe reactive hemorrhage requiring surgical intervention in the dissection group operated under general anesthesia, but there was no such case in the guillotine group.Conclusion:The results of this study show that in crecly selected children, guillotine tonsillectomy with local anesthesia is a safe, time saving and cost effective procedure.

关 键 词：儿童 扁桃体挤切术 扁桃体剥离术 对比分析 

分 类 号：R766.18[医药卫生—耳鼻咽喉科] R766[医药卫生—临床医学]