| CO_2激光扁桃体切除术的临床研究 |
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| 引用本文： | 蒋振华,王杰,董钏,梁传余,付启红,刘国旗,尹建平,张珍.CO_2激光扁桃体切除术的临床研究[J].临床耳鼻咽喉头颈外科杂志,2010,24(3). |
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| 作者姓名： | 蒋振华 王杰 董钏 梁传余 付启红 刘国旗 尹建平 张珍 |
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| 作者单位： | 1. 绵阳市中心医院耳鼻咽喉头颈外科,四川绵阳,621000
2. 四川大学华西医院耳鼻咽喉科 |
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| 基金项目： | 四川省卫生厅资助项目(No:050277) |
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| 摘 要： | 目的:探讨CO2激光切除扁桃体的临床疗效。方法:随机将102例患者分为CO2激光组和对照组。CO2激光组用CO2激光系统切除扁桃体;对照组则采用常规剥离法切除扁桃体,手术均由同一术者完成。观察并记录两侧扁桃体切除所需手术时间、术中出血量、术后疼痛时间及程度、术后创面反应程度、创面修复时间(假膜出现及脱落时间)、术后再出血、术后术区瘢痕共7项指标。结果:CO2激光组手术时间较对照组短;CO2激光组术中平均出血量(7.2±2.1)ml,而对照组为(92.0±35.0)ml;CO2激光组术后疼痛及创面反应程度均轻于对照组;CO2激光组较对照组假膜出现时间早、脱落晚;两组均无术后再出血患者;术后12周动态观察CO2激光组与对照组术区瘢痕情况,仅对照组有2例(3.92%)出现明显术区瘢痕。结论:CO2激光扁桃体切除术出血量少,术后疼痛小,反应轻,手术方法易掌握,是扁桃体切除术中一种安全、有效、微创的术式。
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| 关 键 词： | CO2激光扁桃体切除术 微创 扁桃体旁间隙 |
Clinical study of carbon dioxide laser tonsillectomy |
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| JIANG Zhenhua,WANG Jie,DONG Chuan,LIANG Chuanyu,FU Qihong,LIU Guoqi,YIN Jianping,ZHANG Zhen.Clinical study of carbon dioxide laser tonsillectomy[J].Journal of Clinical Otorhinolaryngology,2010,24(3). |
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| Authors: | JIANG Zhenhua WANG Jie DONG Chuan LIANG Chuanyu FU Qihong LIU Guoqi YIN Jianping ZHANG Zhen |
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| Institution: | 1Department of Otolaryngology Head and Neck Surgery/a>;Mianyang Central Hospital Sichuan Province/a>;Mianyang/a>;621000/a>;China/a>;2Department of Otolaryngology/a>;West China Hospital/a>;Sichuan University |
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| Abstract: | Objective:To investigate the therapeutic effect of carbon dioxide laser tonsillectomy.Method:In this prospective,randomized study,One hundred and two patients were divided into laser group or control group. Patients of laser group were cured with carbon dioxide laser tonsillectom,and the control group was cured with routine method. All operations are executed by one person. Observation index included operation time,hemorrhage in operation,ache after operation,inflammatory reaction of raw surface,repair time... |
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| Keywords: | carbon dioxide laser tonsillectomy mini-trauma tonsils side interspace |
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