低温等离子手术与传统手术对成人扁桃体切除的效果及生活质量的影响

目的:比较低温等离子及传统手术在成人扁桃体切除术中的效果及对生活质量的影响.方法:按随机数表法将80例成人慢性扁桃体炎患者分成两组,等离子组和传统手术组,每组各40人,等离子组接受低温等离子手术治疗,传统手术接受传统扁桃体剥离术.比较两组一般资料、手术时间、术中出血量、术后疼痛评分、恢复正常饮食时间、炎症水平及生活质量量表评分.结果:等离子组手术时间更短、术中出血量更少、术后疼痛评分低于传统手术组,恢复正常饮食时间短于传统手术组,等离子组炎症水平低于传统手术组,等离子组在生活质量量表中的情感职能、社会功能、精神健康、一般健康状况、生理功能及生理职能6个维度上评分与传统手术组差异无统计学意义,但在活力和躯体疼痛维度上优于传统手术组.结论:较之传统扁桃体剥离术,低温等离子扁桃体手术手术时间更短、出血量更少、疼痛更轻、恢复更快,炎症介质水平更低,生活质量优于传统扁桃体剥离术.

Effect of low temperature plasma surgery and traditional surgery on adult tonsil excision and patients' quality of life

Objective: Comparing the low temperature plasma and the effect of traditional surgery in adult tonsillectomy and its influence on quality of life.Methods: Eighty cases of adult patients with chronic tonsillitis was divided into two groups, plasma group and the traditional surgery group. Each group involves 40 people. Plasma group treated with low temperature plasma surgery, and traditional surgery with traditional decollement tonsils. Compare two groups of patients' general information, operation time, intraoperative blood loss, postoperative pain score, time to normal diet, inflammatory index and quality of life rating scale.Results: The plasma group showed shorter operation time, less intraoperative blood loss. And postoperative pain score of the plasma group was lower than that in traditional surgery group. The time return to normal diet of the plasma group was shorter than that in traditional surgery group. There was no signiflcant diflerence between these two groups in term of six dimensions scale of quality of life scale, involving emotional function, social function, mental health, general health, physical function and physiological function. However, the plasma group was superior to the traditional surgery group regarding the energy and body pain dimensions.Conclusion: Compared with the traditional decollement tonsils, low temperature plasma tonsil operation is characterized with shorter operation time, less blood loss, lighter pain, and faster recovery. The quality of life of low temperature plasma tonsil operation is better than that in the traditional decollement tonsils.