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电刀切除扁桃体236例
引用本文:詹善强,孔凡俐,操文娟,汤杰,沈菊,詹文波. 电刀切除扁桃体236例[J]. 山东医大基础医学院学报, 2006, 0(6)
作者姓名:詹善强  孔凡俐  操文娟  汤杰  沈菊  詹文波
作者单位:九江市第一人民医院耳鼻喉科 江西九江332000(詹善强,孔凡俐,汤杰,沈菊,詹文波),九江市妇幼保健医院儿科 江西九江332000(操文娟)
摘    要:目的:改进扁桃体切除术剥离方法,减轻患者术后疼痛,减少术后出血。方法:于患者全麻状态下,置入张口器,用电刀沿扁桃体包膜切除扁桃体,观察术中及术后出血量、术后疼痛、术腔白膜生长情况。结果:术中术后均无大出血,出血量均<20 ml,腭弓、悬雍垂肿胀轻,伪膜于12~18 h后萌出,术后12 h后进半流质饮食。结论:电刀切除扁桃体术在施术中、后出血少,术时短,能有效减少患者痛苦,值得临床推广应用。

关 键 词:慢性扁桃体炎  电刀  电凝术  张口器

Experience from tonsillectomy with electrotome of 236 cases
ZHAN Shan-qiang,KONG Fan-li,CAO Wen-juan,TANG Jie,SHEN Ju,ZHAN Wen-bo. Experience from tonsillectomy with electrotome of 236 cases[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2006, 0(6)
Authors:ZHAN Shan-qiang  KONG Fan-li  CAO Wen-juan  TANG Jie  SHEN Ju  ZHAN Wen-bo
Affiliation:ZHAN Shan-qiang~1,KONG Fan-li~1,CAO Wen-juan~2,TANG Jie~1,SHEN Ju~1,ZHAN Wen-bo~1
Abstract:Objective: To improve the method of dissection in tonsillectomy.Methods: Under general anesthesia,the mouth prop was put in,and the electrotome was used to remove the tonsil.The amout of bleeding,pains and the growth of tonica albuginea were observed.Results: The amount of bleeding was lower than 20 ml.The palatal arch and the uvula were swelled little.Pseudomembrane sprouted 12 to 18 hours later.Conclusion: Tonsillectomy with electrotome is worth using with advantages of few bleeding and short operation.
Keywords:Chronic tonsillitis  Electrotome  Electric coagulation  Mouth prop
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