摘要
目的探讨低温等离子射频消融术在儿童扁桃体切除中的手术疗效。方法 80例扁桃体肥大患儿,随机分为两组。治疗组采用低温等离子消融术,对照组采用传统扁桃体剥离术,比较两种手术方法的手术时间、术中出血量、术后迟发性出血、疼痛评分、术后伪膜脱落程度。结果所有患儿均在全身麻醉下彻底切除扁桃体,低温等离子切除扁桃体手术操作简单方便,视野清晰,手术时间为(10.4±4.3)min,术中出血量为(10.1±4.2)mL,术后无出血;传统扁桃体剥离术视野欠清楚,手术时间为(12.5±2.3)min,术中出血量为(21.3±5.7)mL,两种手术方法的手术时间、术中出血量比较,差异有统计学意义(P<0.01)。低温等离子组疼痛评分3.0～5.5分较对照组4.5～8.0分低(P<0.01),伪膜脱落的时间迟于对照组(P<0.01)。结论低温等离子术切除小儿扁桃体术中出血少、止血牢固、可控性强、易于操作、损伤轻、手术时间短,术后痛苦小、疗效可靠,有良好的效果。
Objective Effect of low-temperature radiofrequency ablation tonsillectomy on children. Methods 80 children with tonsillar hypertrophy were randomLy divided into two groups. The treatment group used low-temperature plasma ablation, while the control group used the traditional tonsil dissection; Compare the operation time, blood loss, postoperative delayed bleeding, pain score, degree of postoperative pseudomembranous off. Results All the patients were under generalanesthesia and complete removal of tonsils.Surgical procedure was simple, vision was clear, operative time was （10.4±4.3） min, blood loss was （10.1±4.2） mL, postoperative bleeding in low-temperature plasma ablation; vision less clear, operative time （12.5±2.3） rain, blood loss （21.3±5.7） mL in conventional dissection tonsillectomy. The difference in operation time and blood loss were statistically significant （P 〈 0.01）.Pain score was lower and pseudomembranous off time was later in theatment group. Conclusion Low-temperature plasma excision surgery was easy to operate, high salty, effective and reliable.
出处
《中国医药科学》
2012年第3期23-24,共2页
China Medicine And Pharmacy
