低温等离子扁桃体切除术治疗慢性扁桃体炎患者的效果  

Effect of Low-temperature Plasma Tonsillectomy in the Treatment of Patients with Chronic Tonsillitis

作　　者：林永亮 黄超洋 LIN Yongliang;HUANG Chaoyang(Putian 95 Hospital,Putian 351100,China;不详)

机构地区：[1]莆田九十五医院,福建莆田351100

出　　处：《中外医学研究》2024年第34期134-136,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察低温等离子扁桃体切除术治疗慢性扁桃体炎患者的效果。方法:选择2022年1—12月莆田九十五医院收治的85例慢性扁桃体炎患者作为研究对象,根据手术方式将患者分为低温等离子组(n=43,低温等离子扁桃体切除术)和常规组(n=42,常规扁桃体切除术)。比较两组围手术期指标、创面白膜形成情况、视觉模拟评分法(VAS)评分、并发症。结果:低温等离子组术后恢复正常饮食时间、手术时间、白膜形成时间、开始脱落时间和完全脱落时间短于常规组,术中出血量少于常规组,术后创面白膜形成情况优于常规组,术后1 d、3 d、7 d VAS评分低于常规组,差异有统计学意义(P<0.05);低温等离子组术后并发症发生率为6.98%,与常规组的16.67%比较,差异无统计学意义(P>0.05)。结论:低温等离子扁桃体切除术能缩短慢性扁桃体炎患者手术时间,减少术中出血量和缩短术后疼痛时间,促进术后创面白膜形成。Objective:To observe the effect of low-temperature plasma tonsillectomy in the treatment of patients with chronic tonsillitis.Method:A total of 85 patients with chronic tonsillitis who admitted to Putian 95 Hospital from January to December 2022 were selected as the research objects,the patients were divided into the low-temperature plasma group(n=43,low-temperature plasma tonsillectomy)and the conventional group(n=42,conventional tonsillectomy)according to the surgical methods.The perioperative indexes,wound albuginea formation,visual analogue scale(VAS)score and complications were compared between two groups.Result:The time to return to normal diet,operation time,albuginea formation time,initial shedding time and complete shedding time in the low-temperature plasma group were shorter than those in the conventional group,the intraoperative blood loss was less than that in the conventional group,and the postoperative wound tunica albuginea formation was better than that in the conventional group,the VAS scores at 1 d,3 d and 7 d after operation were lower than those in the conventional group,and the differences were statistically significant(P<0.05);the incidence of postoperative complications in the low-temperature plasma group was 6.98%,compared with 16.67%in the conventional group,the difference was not statistically significant(P>0.05).Conclusion:Low-temperature plasma tonsillectomy can shorten the operation time of patients with chronic tonsillitis,reduce intraoperative blood loss and shorten postoperative pain time,and promote the postoperative wound albuginea formation.

关 键 词：低温等离子扁桃体切除术 常规扁桃体切除术 围手术期指标 创面白膜 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]