低温等离子与常规手术治疗涎腺黏液囊肿的临床疗效  

Clinical efficacy of low temperature plasma and conventional surgery in the treatment of salivary gland mucinous cyst

作　　者：吴年平 朱琳瑜 姚桂连 黄少华 袁宝乘 WU Nianping;ZHU Linyu;YAO Guilian;HUANG Shaohua;YUAN Baocheng(Department of Stomatology,Ji'an Central People's Hospital,Ji'an,Jiangxi,343000,China;Department of Stomatology,Yongfeng County People's Hospital,Ji'an,Jiangxi,343000,China)

机构地区：[1]吉安市中心人民医院口腔科,江西吉安343000 [2]吉安市永丰县人民医院口腔科,江西吉安343000

出　　处：《当代医学》2024年第20期28-32,共5页Contemporary Medicine

基　　金：江西省吉安市科技计划项目(20222-026840)。

摘　　要：目的比较低温等离子与常规手术治疗涎腺黏液囊肿的临床疗效。方法选取2020年1月至2022年3月于吉安市中心人民医院口腔科就诊的80例涎腺黏液囊肿患者作为研究对象,根据治疗方法不同分为常规组与低温组,每组40例。常规组给予常规手术治疗,低温组给予低温等离子手术治疗。比较两组临床疗效、围手术期指标、疼痛程度、术后并发症、生命质量及复发率。结果低温组治疗总有效率为97.50%,高于常规组的80.00%,差异有统计学意义(P<0.05)。低温组手术时间、创口痊愈时间、住院时间均短于常规组,术中失血量少于常规组,差异有统计学意义(P<0.05)。术后第3、5天,两组视觉模拟评分法(visual analogue scale,VAS)评分均低于前一时间点,差异有统计学意义(P<0.05);术后第1、3、5天,低温组VAS评分均低于常规组,差异有统计学意义(P<0.05)。低温组并发症发生率为12.50%,低于常规组的35.00%,差异有统计学意义(P<0.05)。术后,两组躯体疼痛、心理健康、情感职能、生理职能、生理功能、社会功能、生命活力、总体健康评分均高于术前,且低温组高于常规组,差异有统计学意义(P<0.05)。随访6个月后,低温组复发率为7.50%,低于常规组的27.50%,差异有统计学意义(P<0.05)。结论低温等离子手术治疗涎腺黏液囊肿患者疗效显著,且术中出血少、耗时短、操作便捷、恢复迅速,且远期疗效良好,生命质量显著提升,安全性更佳。Objective To compare the clinical efficacy of salivary low temperature plasma and conventional surgery in the treatment of salivary gland mucinous cysts.Methods 80 patients with salivary gland mucinous cysts who were treated in the department of Stomatology,Ji'an Central People's Hospital from January 2020 to March 2022 were selected as the research subjects,they were divided into the routine group and the hypothermia group according to the different treatment methods,with 40 cases in each group.The routine group was treated with conventional surgery,and the hypothermia group was treated with low temperature plasma surgery.The clinical efficacy,perioperative indicators,pain degree,postoperative complications,quality of life and recurrence rate were compared between the two groups.Results The total effective rate of treatment in the hypothermia group was 97.50%,which was higher than 80.00% in the routine group,and the difference was statistically significant(P<0.05).The operation time,wound healing time and hospitalization time in the hypothermia group were shorter than those in the routine group,and the intraoperative blood loss was less than that in the routine group,the differences were statistically significant(P<0.05).On the 3rd and 5th day after operation,the visual analogue scale(VAS)scores of the two groups were lower than those at the previous time point,and the differences were statistically significant(P<0.05);on the 1 st,3 rd and 5 th day after operation,the VAS score in the hypothermia group were lower than that in the routine group,and the differences were statistically significant(P<0.05).The incidence of complications in the hypothermia group was 12.50%,which was lower than 35.00% in the routine group,and the difference was statistically significant(P<0.05).After operation,the body pain,mental health,emotional function,physiological function,physiological function,social function,vitality and overall health scores of the two groups were higher than those before operation,and the hypothermia group w

关 键 词：涎腺黏液囊肿 低温等离子 生命质量 并发症 复发率 

分 类 号：R47[医药卫生—护理学]