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电凝法扁桃体切除术180例
引用本文:祝江才,金斌,林晓,张佳,李克勇,孙雅静,董频.电凝法扁桃体切除术180例[J].山东大学耳鼻喉眼学报,2010,24(2):57.
作者姓名:祝江才  金斌  林晓  张佳  李克勇  孙雅静  董频
作者单位:上海交通大学附属上海市第一人民医院耳鼻咽喉-头颈外科,上海 200080
摘    要:目的 探讨电凝法扁桃体切除术的可行性。方法 对180例接受电凝法扁桃体切除术(A法)、35例接受低温等离子射频扁桃体切除术(B法)的患者资料进行回顾性研究。结果 所有患者手术顺利完成,术中出血量实施A法组约5~50mL,平均10mL; B法组约5~200mL,平均为50mL。1例B法组的患者出现术后扁桃体窝出血,两组均没有出现术后扁桃体窝感染或咽旁间隙感染患者。结论 电凝法扁桃体切除术术中出血较少,可使手术更易完成。术后出血机会减少,不会增加术后并发症的发生。

关 键 词:扁桃体切除术  电凝法  低温等离子射频法  
收稿时间:2009-12-10
修稿时间:2010-03-05

Electrocoagulation tonsillectomy (a report of 180 cases)
ZHU Jiang-cai,JIN Bin,LIN Xiao,ZHANG Jia,LI Ke-yong,SUN Ya-jing,DONG Pin.Electrocoagulation tonsillectomy (a report of 180 cases)[J].Journal of Otolaryngology and Ophthalmology of Shandong University,2010,24(2):57.
Authors:ZHU Jiang-cai  JIN Bin  LIN Xiao  ZHANG Jia  LI Ke-yong  SUN Ya-jing  DONG Pin
Institution:Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Shanghai First People′s Hospital, Shanghai Jiaotong University,Shanghai 200080, China
Abstract:Objective To investigate the feasibility of electrocoagulation tonsillectomy. Methods 180 patients who underwent electrocoagulation tonsillectomy (method A), and 35 patients who underwent coblation tonsillectomy (method B) were retrospectively studied. Results The bleeding volume measured during operation was 5-50mL (10mL on average) in method A group, and 5-200mL (50mL on average) in method B group. There was one patient with postoperative bleeding in tonsillar fossa in method B group and no patients with postoperative infection in neither groups. Conclusion Electrocoagulation tonsillectomy is effective and safe, with less volume of bleeding during the surgery. At the same time, there is a decrease in the chance of postoperative bleeding and no increase in the incidence of postoperative complications. Electrocoagulation tonsillectomy is feasible.
Keywords:Tonsillectomy  Electrocoagulation  Coblation
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