低温等离子手术与传统电刀手术在悬雍垂腭咽成形术后出血情况分析  

A analysis on bleeding following uvulopalatopharyngoplasty betweenlow temperature plasma surgery and traditional electric knife surgery

作　　者：潘青海 黄晓悫[1] Pan Qinghai;Huang Xiaoque(Department of Otolaryngology,Chongqing Iron and Steel General Hospital,Chongqing 400080,China)

机构地区：[1]重钢总医院,重庆400080

出　　处：《中国医学文摘(耳鼻咽喉科学)》2025年第1期27-29,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的比较低温等离子手术与传统电刀手术在悬雍垂腭咽成形术后出血情况。方法回顾性选取重钢总医院2014年7月~2023年1月收治的行悬雍垂腭咽成形术,电刀组病例32例,年龄25-66岁,平均年龄43.22±12.13岁,等离子组64例,平均年龄39.54±10.31岁,统计两种方式术后出血率。结果两种手术方式原发性出血率差异无统计学意义,继发性出血率,等离子组明显高于电刀组。结论等离子手术术后继发性出血率明显高于传统电刀手术,需要我们临床上高度注意,手术中行扁桃体下极“8”字缝合和术后应用抗生素可减少继发性出血几率。Objective The bleeding after uvulopalatopharyngoplasty was compared between low temperature plasma surgery and traditional electric knife surgery.Methods A retrospective selection of uvulopalatopharyngoplasty was performed in the General Hospital of Chongqing Iron and Steel Company from July 2014 to January 2023.There were 32 cases in the electric knife group,aged 25-66 years,with an average age of 43.22±12.13 years.There were 64 cases in the plasma group,with an average age of 39.54±10.31 years.The postoperative bleeding rate of the two methods was counted.Results There was no significant difference in the primary bleeding rate between the two surgical methods.The secondary bleeding rate in the plasma group was significantly higher than that in the electrotome group.Conclusion The rate of secondary bleeding after plasma surgery is significantly higher than that of traditional electric knife surgery,which requires our clinical attention.The‘8 suture of the lower pole of tonsil and the application of antibiotics after operation can reduce the risk of secondary bleeding.

关 键 词：等离子 电刀 继发性出血 

分 类 号：R76[医药卫生—耳鼻咽喉科]