摘要
目的探讨显微镜下低温等离子扁桃体部分切除术的优势及临床价值。方法方便选择2014年8月—2017年6月于该院行显微镜下低温等离子行扁桃体部分切除术患儿128例为部分切除组,选择同期在显微镜下低温等离子扁桃体全切术患儿57例为全切组,比较两组手术时间、术中出血量、术后疼痛、术后出血、临床效果及对免疫功能的影响。结果与全切组比较,部分切除组手术时间为(15.18±2.24)min显著短于全切组(t=24.084,P<0.05);出血量(2.82±1.38)mL显著低于全切组(t=13.160,P<0.05);术后1 d、2 d、3 d mops疼痛评分显著低于全切除组(t=8.861、7.683、9.057,P<0.05);术后出血发生率1.60%显著低于全切组(χ~2=11.999,P<0.05);且术后免疫功能恢复优于全切组(P>0.05)。结论显微镜下低温等离子扁桃体部分切除术具有手术时间短、出血少、疼痛轻优势,术后免疫恢复功能恢复快等临床优势。
Objective This paper tries to investigate the advantages and clinical value of low temperature plasma tonsil partial resection under microscope. Methods From August 2014 to June 2017, 128 were convenient selected patients with partial tonsillectomy under low temperature plasma in the hospital underwent microscopy. All the children underwent microscopic plasma tonsillectomy under the microscope. The total cut group was used to compare the operation time, intraoperatire blood loss, postoperative pain, postoperative bleeding, clinical effects and immune function. Results Compared with the total cut group, the operation time of the partial resection group was （15.18±2.24）rain, which was significantly shorter than the total cut group （t=24.084, P〈0.05）. The bleeding volume was （2.82±1.38）mL significantly lower than the total cut group （t=13.160,P〈0.05）; 1 d, 2 d, 3 droops pain scores were significantly lower than the total resection group （t=8.861, 7.683, 9.057, P〈0.05）; postoperative bleeding rate was significantly lower than 1.60% the total cut group （X^2=11.999, P〈0.05）; and the recovery of postoperative immune function was better than the total cut group （P〉0.05）. Conclusion Microscopic low-temperature plasma tonsillectomy has clinical advantages such as short operation time, less bleeding, mild pain, and rapid recovery of postoperative immune recovery.
作者
李刚
叶辉
梁文涛
LI Gang;YE Hui;LIANG Wen-tao(Department of Otorhinolaryngology-Head and Neck Surgery,Haicang Hospital of Xiamen,Xiamen,Fujian Province,361026 China)
出处
《中外医疗》
2018年第27期61-63,共3页
China & Foreign Medical Treatment
作者简介
李刚（1971-），男，福建龙岩人，本科，副主任医师，研究方向：鼻、咽喉疾病。;通讯作者：叶辉（1972-），男，黑龙江齐齐哈尔人，硕士，主任医师，研究方向：睡眠呼吸疾病，E-mail：entyh@126．com。
