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低溫等離子射頻刀扁桃體切除術(shù)治療慢性扁桃體炎的臨床價(jià)值

發(fā)布時(shí)間:2018-06-23 來源: 幽默笑話 點(diǎn)擊:

http://img1.qikan.com.cn/qkimages/yxxi/yxxi201805/yxxi20180537-1-l.jpghttp://img1.qikan.com.cn/qkimages/yxxi/yxxi201805/yxxi20180537-2-l.jpg
  摘   要:目的  分析慢性扁桃體炎行低溫等離子射頻刀扁桃體切除術(shù)治療的臨床價(jià)值。方法  選取2015年5月~2017年5月在我院治療的128例慢性扁桃體炎患者,按術(shù)式不同分為兩組各64例。對照組傳統(tǒng)扁桃體切除術(shù),觀察組低溫等離子射頻刀扁桃體切除術(shù),比較兩組患者手術(shù)指標(biāo)、疼痛評分、并發(fā)癥和臨床療效。結(jié)果  觀察組手術(shù)時(shí)間、術(shù)中出血量和術(shù)后進(jìn)食時(shí)間均比對照組優(yōu),差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論  慢性扁桃體炎應(yīng)用低溫等離子射頻刀扁桃體切除術(shù)治療具術(shù)時(shí)短、出血少。
  關(guān)鍵詞:低溫等離子;射頻刀;扁桃體切除術(shù);慢性扁桃體炎;疼痛
  中圖分類號:R766.9                                  文獻(xiàn)標(biāo)識(shí)碼:A                                DOI:10.3969/j.issn.1006-1959.2018.05.037
  文章編號:1006-1959(2018)05-0110-02
  Clinical Value of Low Temperature Plasma Radio Frequency Knife Tonsillectomy in the Treatment of Chronic Tonsillitis
  ZHANG Lan-yu
 。―epartment of Otolaryngology,Dangyang People"s Hospital,Dangyang 444100,Hubei,China)
  Abstract:Objective  To analyze the clinical value of low temperature plasma radiofrequency knife tonsillectomy for chronic tonsillitis.Methods  128 patients with chronic tonsillitis treated in our hospital from May 2015 to May 2017 were selected.The patients were divided into two groups according to the different operation methods,64 cases in each group.The traditional tonsillectomy in the control group and the tonsillectomy with low temperature plasma radiofrequency knife in the observation group.The surgical indexes,pain scores,complications and clinical efficacy were compared between the two groups.Results The operative time, intraoperative bleeding volume and postoperative feeding time in the observation group were better than those in the control group,the difference was statistically significant(P<0.05).Conclusion  The treatment of chronic tonsillitis with low temperature plasma radiofrequency knife tonsillectomy has shorter operation time and less bleeding.
  Key words:Hypothermia plasma;Radiofrequency knife;Tonsillectomy;Chronic tonsillitis;Pain
  慢性扁桃體炎(chronic tonsillitis)屬耳鼻喉科疾病,臨床表現(xiàn)多為高熱、反復(fù)咽痛、扁桃體充血及膿腫,易伴發(fā)咳嗽、食欲減退等癥狀,若治療欠佳,易誘發(fā)心肌炎、腎小球腎炎、風(fēng)濕性心臟病等并發(fā)癥[1]。由于細(xì)菌、分泌物長期留滯于扁桃體窩,致使扁桃體炎頻繁發(fā)作,形成慢性扁桃體炎。以我院收治的128例慢性扁桃體炎患者為研究對象,旨在分析低溫等離子射頻刀扁桃體切除術(shù)療效,現(xiàn)報(bào)告如下。
  1資料與方法
  1.1一般資料  選取2015年5月~2017年5月在當(dāng)陽市人民醫(yī)院治療的慢性扁桃體炎患者128例。納入標(biāo)準(zhǔn):經(jīng)病理檢查證實(shí)為扁桃體炎,急性反復(fù)發(fā)作,扁桃體周圍膿腫,扁桃體肥大影響呼吸、睡眠、吞咽,急性扁桃體炎及上呼吸道感染均>2周,扁桃體腫物良性,患者自愿簽訂知情同意書。排除急性期及合并腫瘤、結(jié)核患者,凝血障礙、造血疾病、肺結(jié)核病、全身重癥疾病及妊娠期患者,手術(shù)禁忌證患者。按術(shù)式不同分為觀察組和對照組,每組64例。觀察組男34例,女30例,年齡24~74歲,平均年齡(52.14±10.21)歲;病程4~11年,平均病程(5.82±1.14)年。對照組男31例,女33例,年齡25~73歲,平均年齡(50.26±10.24)歲;病程5~10年,平均病程(5.81±1.06)年。兩組患者性別、年齡、病程等一般資料相比,差異無統(tǒng)計(jì)學(xué)意義(P>0.05),有可比性。

相關(guān)熱詞搜索:扁桃體炎 扁桃體 射頻 等離子 低溫

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