本文選題：扁桃體 + 扁桃體切除術(shù)��； 參考：《遵義醫(yī)學(xué)院》2014年碩士論文

【摘要】：目的：探索扁桃體被膜內(nèi)切除術(shù)的手術(shù)方法，減輕手術(shù)創(chuàng)傷，降低術(shù)后并發(fā)癥的發(fā)生，為臨床實(shí)踐提供一種可靠的新型手術(shù)方式。 方法：選取2012年12月至2013年12月遵義醫(yī)學(xué)院附屬醫(yī)院耳鼻喉科以扁桃體肥大收入院，擬行扁桃體切除術(shù)的住院病人，40例，其中，，男25例，女15例，隨機(jī)分為2組：低溫等離子扁桃體被膜內(nèi)切除術(shù)組（簡(jiǎn)稱(chēng)被膜內(nèi)切除組）20例及低溫等離子扁桃體被膜外切除術(shù)組（簡(jiǎn)稱(chēng)被膜外切除組）20例，比較其手術(shù)時(shí)間、術(shù)中出血量、術(shù)后疼痛、術(shù)后并發(fā)癥發(fā)生率，白膜脫落時(shí)間。 結(jié)果：術(shù)中血量被膜內(nèi)切除組為（6.20±1.36）ml，被膜外切除組為（9.50±2.04）ml；術(shù)后疼痛（經(jīng)疼痛量表評(píng)分）：術(shù)后6小時(shí)：被膜內(nèi)切除組為（2.50±0.59）,被膜外切除組為（3.80±0.70），術(shù)后第一天被膜內(nèi)切除組為（2.30±0.46）,被膜外切除組為（3.30±0.67），術(shù)后第二天被膜內(nèi)切除組為（1.55±0.50）,被膜外切除組為（2.30±0.57）；術(shù)后出血發(fā)生率（繼發(fā)性出血）：被膜內(nèi)切除組未發(fā)生出血，被膜外切除組為10%；所得數(shù)據(jù)采用SPSS17.0軟件包進(jìn)行統(tǒng)計(jì)學(xué)分析后有統(tǒng)計(jì)學(xué)意義（P0.5）；術(shù)后白膜脫落時(shí)間：被膜內(nèi)切除組為（7.15±0.85）天；被膜外切除組為：（7.15±1.09）天；傷口感染發(fā)生率：被膜內(nèi)切除組為10%，被膜外切除組為：25%；手術(shù)時(shí)間：被膜內(nèi)切除組為（18.4±2.42）分鐘，被膜外切除組為（17.7±2.00）分鐘，所得數(shù)據(jù)采用SPSS17.0軟件包進(jìn)行統(tǒng)計(jì)學(xué)分析后無(wú)統(tǒng)計(jì)學(xué)意義（P0.5）。 結(jié)論：應(yīng)用低溫等離子行扁桃體被膜內(nèi)切除術(shù)是一種嶄新的手術(shù)方式，具有創(chuàng)傷小、恢復(fù)快、疼痛輕且并發(fā)癥發(fā)生率低等優(yōu)點(diǎn)，通過(guò)對(duì)低溫等離子扁桃體被膜內(nèi)切除術(shù)的研究，為扁桃體切除術(shù)的臨床工作提供一種更佳的手術(shù)方式的選擇，值得臨床推廣。
[Abstract]:Objective: to explore the surgical method of tonsillectomy, to reduce surgical trauma and postoperative complications, and to provide a new and reliable surgical method for clinical practice. Methods: from December 2012 to December 2013, 40 inpatients (25 males and 15 females) with tonsillectomy were enrolled in the Department of Otorhinolaryngology, affiliated Hospital of Zunyi Medical College. Two groups were randomly divided into two groups: low temperature plasma tonsillectomy group (20 cases) and hypothermic plasma tonsillectomy group (20 cases). Postoperative pain, incidence of postoperative complications, white film fall off time. Results: intraoperative blood volume was 6.20 鹵1.36ml in the Tunica resection group and 9.50 鹵2.04ml in the extramembranous resection group, and postoperative pain was 2.50 鹵0.59m in the intrathecal resection group, 3.80 鹵0.70 in the extramembranous resection group and 3.80 鹵0.70 in the first day after operation. The incidence of postoperative hemorrhage was 3.30 鹵0.67 in the extramembranous resection group, 1.55 鹵0.50 in the intramembranous resection group and 2.30 鹵0.57 in the extramembranous resection group on the second day after operation. There was significant difference in the data obtained by SPSS17.0 software package after statistical analysis, the time of white membrane shedding after operation was 7.15 鹵0.85 days in the intrathecal resection group and 7.15 鹵1.09 days in the extramembranous resection group. The incidence of wound infection in the intramembranous resection group was 10 and that in the extramembranous resection group was 25: 25.The operative time was 18.4 鹵2.42 minutes in the intramembranous resection group and 17.7 鹵2.00 minutes in the extramembranous resection group. There was no significant difference between the two groups after statistical analysis by SPSS17.0 software package. Conclusion: Intra-membrane resection of tonsillectomy with hypothermic plasma is a new method with the advantages of small trauma, quick recovery, mild pain and low incidence of complications. It provides a better choice for tonsillectomy and is worth popularizing.
【學(xué)位授予單位】：遵義醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R766.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 蔡朝陽(yáng);鄭剛;許小龍;;高頻電刀扁桃體切除術(shù)后出血分析[J];中國(guó)耳鼻咽喉頭頸外科;2013年11期

2 祝小莉;楊華;陳曉巍;金毅;樊悅;高志強(qiáng);;低溫等離子刀輔助內(nèi)鏡下兒童扁桃體和腺樣體切除術(shù)臨床效果分析[J];臨床耳鼻咽喉頭頸外科雜志;2011年12期

3 郭筠芳;孔巧;;低溫等離子刀扁桃體切除術(shù)與傳統(tǒng)扁桃體剝離術(shù)療效的比較[J];臨床耳鼻咽喉頭頸外科雜志;2012年07期

4 夏睿彥;劉大有;張軍梅;;低溫等離子刀切除扁桃體33例臨床療效觀察[J];寧夏醫(yī)學(xué)雜志;2009年09期

5 王進(jìn)東;李曉東;李鳳偉;張海生;周雪冰;李為;閆宏嶺;;多種扁桃體切除術(shù)的對(duì)比研究[J];中國(guó)醫(yī)藥指南;2012年17期

6 肖水芳;楊柳;;低溫等離子射頻消融術(shù)常見(jiàn)并發(fā)癥及處理[J];中國(guó)醫(yī)學(xué)文摘(耳鼻咽喉科學(xué));2008年02期

7 田永遠(yuǎn);;低溫等離子刀在扁桃體切除術(shù)中的臨床應(yīng)用評(píng)價(jià)[J];中國(guó)醫(yī)藥指南;2012年34期

8 趙秀娥;;扁桃體手術(shù)及術(shù)后并發(fā)癥[J];中國(guó)社區(qū)醫(yī)師(醫(yī)學(xué)專(zhuān)業(yè));2013年06期

本文編號(hào)：1938286