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剥离法与挤切法结合在成人扁桃体切除术中的应用
引用本文:钱锋,黄鹏,陈剑,陈昌凤,倪琴. 剥离法与挤切法结合在成人扁桃体切除术中的应用[J]. 山东大学耳鼻喉眼学报, 2013, 27(3): 77-78. DOI: 10.6040/j.issn.1673-3770.0.2012.348
作者姓名:钱锋  黄鹏  陈剑  陈昌凤  倪琴
作者单位:无为县人民医院耳鼻咽喉科, 安徽 无为 238300
摘    要:目的 探讨剥离法与挤切法相结合实施成人扁桃体手术临床效果。方法 慢性扁桃体炎成人患者238例,130例采用剥离与挤切相结合(治疗组)的手术方法,108例采用传统的剥离法(对照组)。结果 治疗组手术时间较对照组短,术中出血量较对照组少,差异有统计学意义(P<0.01);治疗组无原发性出血病例,对照组2例原发性出血病例;两组均无继发性出血病例。结论 采用剥离与挤切相结合的方法切除成人扁桃体,简便易行,术中出血少,术时短,痛苦小。

关 键 词:扁桃体切除术   剥离法   挤切法  
收稿时间:2012-11-27

Dissection combined with guillotine tonsillectomy-in adults
QIAN Feng,HUANG Peng,CHEN Jian,CHEN Chang-feng,NI Qin. Dissection combined with guillotine tonsillectomy-in adults[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2013, 27(3): 77-78. DOI: 10.6040/j.issn.1673-3770.0.2012.348
Authors:QIAN Feng  HUANG Peng  CHEN Jian  CHEN Chang-feng  NI Qin
Affiliation:Department of Otolaryngology, the People’s Hospital of Wuwei County, Wuwei  238300, Anhui, China
Abstract:Objective To explore the clinical effectiveness of dissection combined with guillotine tonsillectomy in adults. Method In 238 adult chronic tonsillitis patients, 130 (experimental group) were treated by dissection combined with guillotine tonsillectomy, while the other 108 (control group) were treated by dissection tonsillectomy only. Result The experimental group showed shorter operation time and less bleeding compared with the control group (both P<0.01). There was no case of primary bleeding in experimental group, however, two cases of primary hemorrhage were noted in the control group. No case of secondary bleeding in either group. Conclusion Adult tonsillectomy with dissection combined with guillotine is easy to practice. It can minimize bleeding, shorten the operation time, and decrease the patient’s discomfort.
Keywords:Tonsillectomy  Dissection  Guillotine
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