發(fā)布時間：2018-04-29 12:17

  本文選題：扁桃體切除術(shù) + 低溫等離子射頻刀��； 參考：《河北醫(yī)學(xué)》2016年01期

【摘要】：目的:探討低溫等離子射頻刀扁桃體切除術(shù)治療慢性扁桃體炎的臨床療效及安全性。方法:選取符合標(biāo)準(zhǔn)的患者80例,隨機分為觀察組和對照組各40例,觀察組應(yīng)用低溫等離子射頻刀扁桃體切除術(shù),對照組應(yīng)用傳統(tǒng)扁桃體切除術(shù),觀察比較二者的手術(shù)治療情況。結(jié)果:兩組患者均順利完成扁桃體摘除術(shù),術(shù)后無明顯出血。觀察組患者在手術(shù)時間、術(shù)中出血量和術(shù)后進(jìn)食時間均優(yōu)于對照組,差異存在統(tǒng)計學(xué)意義(P0.05);二者白膜脫落時間相似,差異無統(tǒng)計學(xué)意義(P0.05)。觀察組患者術(shù)后1d、3d、5d和7d,VAS評分均低于對照組,差異存在統(tǒng)計學(xué)意義(P0.05)。觀察組總有效率100%,對照組總有效率95%,差異無統(tǒng)計學(xué)意義(P0.05)。治療后,兩組患者癥狀和體征總積分均降低,與本組治療前比較,差異存在統(tǒng)計學(xué)意義(P0.05);二者癥狀和體征總積分下降幅度相似,差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:低溫等離子射頻刀扁桃體切除術(shù)具有手術(shù)時間短、術(shù)中出血少和術(shù)后疼痛輕等優(yōu)點,患者術(shù)后恢復(fù)快、安全性高,值得臨床應(yīng)用開展。
[Abstract]:Objective: to investigate the clinical efficacy and safety of low temperature plasma radiofrequency knife tonsillectomy in the treatment of chronic tonsillitis. Methods: 80 patients were randomly divided into observation group and control group. The observation group was treated with low temperature plasma radiofrequency knife tonsillectomy and the control group with traditional tonsillectomy. To observe and compare the surgical treatment between the two groups. Results: tonsillectomy was successfully completed in both groups, and there was no obvious bleeding after operation. The time of operation, the amount of blood lost during operation and the time of eating after operation in the observation group were better than those in the control group, and the difference was statistically significant (P 0.05), and the time of the white film falling off was similar between the two groups, but the difference was not statistically significant (P 0.05). The VAS scores of the patients in the observation group were lower than those in the control group on the 1st day, 3rd day, and 7th day after operation, and the difference was statistically significant (P 0.05). The total effective rate was 100 in the observation group and 95 in the control group. After treatment, the total scores of symptoms and signs in the two groups were all decreased, the difference was statistically significant compared with that before treatment, and the total scores of symptoms and signs of the two groups were similar to those of the patients before treatment, but there was no significant difference in the total scores of symptoms and signs between the two groups (P 0.05). Conclusion: low temperature plasma radiofrequency knife tonsillectomy has the advantages of short operation time, less intraoperative bleeding and less postoperative pain.
【作者單位】： 四川省資陽市第一人民醫(yī)院耳鼻喉科;
【基金】：四川省衛(wèi)生廳科研課題,(編號:120010)
【分類號】：R766.9
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本文編號：1819906