摘要
目的:比较扁桃体切除术中丝线缝扎止血与双极电凝止血方法的效果。方法:选择112例2007年8月～2009年12月南充市中心医院耳鼻咽喉科收治的慢性扁桃体炎患者,采用系统随机化法将患者分成两组,丝线缝扎止血组62例,行双侧扁桃体切除术后用丝线缝扎止血;双极电凝止血组50例,行双侧扁桃体切除术后用双极电凝器止血。统计分析两组患者原发性出血率、术后疼痛程度、手术时间的差异。结果:丝线缝扎止血组原发性出血率明显低于双极电凝止血组(χ2=10.1,P=0.001),且术后6h、24h疼痛程度也较双极电凝止血组轻(P=0),但手术时间较双极电凝止血组长(t=7.896,P=0)。结论:丝线缝扎止血预防扁桃体切除术后原发性出血效果更佳,术后疼痛程度较轻,但手术时间稍长。
Objective To compare hemostatic methods with silk ligation and bipolar coagulator in tonsillectomy. Methods 112 chronic tonsillitis cases from August 2007 to December 2009 in the department of otorhinolaryngology, Nanchong central hospital randomized into two groups,62 cases with silk ligation and 50 cases with bipolar coagulator to stop bleeding in the tonsillectomy,To analyze the difference of the rate of primary hemorrhage, postoperative pain and operation time of the two groups. Results The rate of primary hemorrhage of silk ligation group is obviously lower thar~ the bipolar coagulator group＇s （X2=10.1, P=0.001）,and postoperative pain of 6h,24h is lighter than bipolar coagulator- group＇s （P=0）,but operation time is longer than bipolar coagulator group＇s （t=7.896,P=0）. Conclusions Silk ligation to stop bleeding is a better way to prevent primary hemorrhage in tonsillectomy and less pain after operation,but operation time is longer.
出处
《中国美容医学》
CAS
2012年第07X期119-121,共3页
Chinese Journal of Aesthetic Medicine
关键词
扁桃体
止血
丝线缝扎
双极电凝
原发性出血率
手术时间
疼痛
tonsil
hemostasis
silk ligation
bipolar electrocoagulation
primary hemorrhage
operation time
pain
