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三种不同扁桃体切除术疗效比较
引用本文:龚明杰,刘侃,张磊,闫飚,邹嘉平,李伟忠. 三种不同扁桃体切除术疗效比较[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 70-73. DOI: 10.6040/j.issn.1673-3770.0.2015.345
作者姓名:龚明杰  刘侃  张磊  闫飚  邹嘉平  李伟忠
作者单位:1.南通大学医学院附属无锡第三人民医院耳鼻咽喉科, 江苏 无锡 214000;2.潍坊医学院附属平度人民医院耳鼻咽喉科, 山东 平度 266700
摘    要:目的 探讨比较冷器械切除+缝合术、单极电凝切除术、等离子射频术三种不同手术方法切除扁桃体的疗效。 方法 将扁桃体切除术患者分为三组,冷器械切除+缝合术(A组)65例;单极电凝切除术(B组)40例;等离子射频切除术(C组)38例。记录扁桃体切除手术总时间、术中出血量、疼痛评分,术后复查时观察扁桃体白膜状况。 结果 A、B、C三组的平均手术时间分别为58.8 min、27.0 min、23.7 min;术中平均出血量分别为34.2 mL、16.1 mL、12.5 mL;术后3 h和术后第1天的疼痛评分之间,差异均有统计学意义。 结论 与冷器械切除+缝合术和单极电凝切除术相比,等离子射频术切除扁桃体费用较高,但其手术时间短,术中出血量少,术后疼痛程度小。

关 键 词:等离子射频  扁桃体切除术  单极电凝切除术  
收稿时间:2015-08-17

Comparison of the efficacy of three different techniques in tonsillectomy
GONG Mingjie,LIU Kan,ZHANG Lei,YAN Biao,ZOU Jiaping,LI Weizhong. Comparison of the efficacy of three different techniques in tonsillectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2016, 30(1): 70-73. DOI: 10.6040/j.issn.1673-3770.0.2015.345
Authors:GONG Mingjie  LIU Kan  ZHANG Lei  YAN Biao  ZOU Jiaping  LI Weizhong
Affiliation:1. Department of Otolaryngology, Wuxi Third Peoples Hospital Affiliated to Medical School of Nantong University, Wuxi 214000, Jiangsu, China;2. Department of Otolaryngology, Pingdu Peoples Hospital Affiliated to Weifang Medical School, Pingdu 266700, Shandong, China
Abstract:Objective To compare the clinical efficacy of cold dissection,monopolar diathermy dissection and radiofre-quency ablation in tonsillectomy.Methods Patients undergone tonsillectomy were divided into 3 groups:cold dissec-tion + suture group (group A,n =65),unipolar electric coagulation resection group (group B,n =40),plasma radiofrequency resection group (group C,n =38).The operation time,intraoperative blood loss,pain score,and post-operative albuginea of all groups were recorded and compared.Results The average operation time and intraoperative blood loss of group A,B and C were (58.8,27.0 and 23.7)min,(34.2,16.1 and 12.5)mL,respectively.There was significant difference in postoperative pain score 3 hour and 1 day after surgery.Conclusion Compared with cold dissection and monopolar diathermy dissection,radiofrequency ablation is more expansive,but it needs shorter operation time and causes less intraoperative bleeding and pain.
Keywords:Tonsillectomy  Plasma radiofrequency  Unipolar coagulation resection
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