低温等离子射频刀扁桃体切除术治疗慢性扁桃体炎的临床价值(1)
摘 要：目的 分析慢性扁桃体炎行低温等离子射频刀扁桃体切除术治疗的临床价值。方法 选取2015年5月～2017年5月在我院治疗的128例慢性扁桃体炎患者，按术式不同分为两组各64例。对照组传统扁桃体切除术，观察组低温等离子射频刀扁桃体切除术，比较两组患者手术指标、疼痛评分、并发症和临床疗效。结果 观察组手术时间、术中出血量和术后进食时间均比对照组优，差异有统计学意义(P<0.05)。结论 慢性扁桃体炎应用低温等离子射频刀扁桃体切除术治疗具术时短、出血少。
关键词：低温等离子;射频刀;扁桃体切除术;慢性扁桃体炎;疼痛
中图分类号：R766.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.037
文章编号：1006-1959(2018)05-0110-02
, 百拇医药
Clinical Value of Low Temperature Plasma Radio Frequency Knife Tonsillectomy in the Treatment of Chronic Tonsillitis
ZHANG Lan-yu
(Department 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.
, 百拇医药
Key words：Hypothermia plasma;Radiofrequency knife;Tonsillectomy;Chronic tonsillitis;Pain
慢性扁桃體炎(chronic tonsillitis)属耳鼻喉科疾病，临床表现多为高热、反复咽痛、扁桃体充血及脓肿，易伴发咳嗽、食欲减退等症状，若治疗欠佳，易诱发心肌炎、肾小球肾炎、风湿性心脏病等并发症[1]。由于细菌、分泌物长期留滞于扁桃体窝，致使扁桃体炎频繁发作，形成慢性扁桃体炎。以我院收治的128例慢性扁桃体炎患者为研究对象，旨在分析低温等离子射频刀扁桃体切除术疗效，现报告如下。
1资料与方法
1.1一般资料 选取2015年5月～2017年5月在当阳市人民医院治疗的慢性扁桃体炎患者128例。纳入标准：经病理检查证实为扁桃体炎，急性反复发作，扁桃体周围脓肿，扁桃体肥大影响呼吸、睡眠、吞咽，急性扁桃体炎及上呼吸道感染均>2周，扁桃体肿物良性，患者自愿签订知情同意书。排除急性期及合并肿瘤、结核患者，凝血障碍、造血疾病、肺结核病、全身重症疾病及妊娠期患者，手术禁忌证患者。按术式不同分为观察组和对照组，每组64例。观察组男34例，女30例，年龄24～74岁，平均年龄(52.14±10.21)岁;病程4～11年，平均病程(5.82±1.14)年。对照组男31例，女33例，年龄25～73岁，平均年龄(50.26±10.24)岁;病程5～10年，平均病程(5.81±1.06)年。两组患者性别、年龄、病程等一般资料相比，差异无统计学意义(P>0.05)，有可比性。, 百拇医药(张兰宇)
关键词：低温等离子;射频刀;扁桃体切除术;慢性扁桃体炎;疼痛
中图分类号：R766.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.037
文章编号：1006-1959(2018)05-0110-02
, 百拇医药
Clinical Value of Low Temperature Plasma Radio Frequency Knife Tonsillectomy in the Treatment of Chronic Tonsillitis
ZHANG Lan-yu
(Department 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.
, 百拇医药
Key words：Hypothermia plasma;Radiofrequency knife;Tonsillectomy;Chronic tonsillitis;Pain
慢性扁桃體炎(chronic tonsillitis)属耳鼻喉科疾病，临床表现多为高热、反复咽痛、扁桃体充血及脓肿，易伴发咳嗽、食欲减退等症状，若治疗欠佳，易诱发心肌炎、肾小球肾炎、风湿性心脏病等并发症[1]。由于细菌、分泌物长期留滞于扁桃体窝，致使扁桃体炎频繁发作，形成慢性扁桃体炎。以我院收治的128例慢性扁桃体炎患者为研究对象，旨在分析低温等离子射频刀扁桃体切除术疗效，现报告如下。
1资料与方法
1.1一般资料 选取2015年5月～2017年5月在当阳市人民医院治疗的慢性扁桃体炎患者128例。纳入标准：经病理检查证实为扁桃体炎，急性反复发作，扁桃体周围脓肿，扁桃体肥大影响呼吸、睡眠、吞咽，急性扁桃体炎及上呼吸道感染均>2周，扁桃体肿物良性，患者自愿签订知情同意书。排除急性期及合并肿瘤、结核患者，凝血障碍、造血疾病、肺结核病、全身重症疾病及妊娠期患者，手术禁忌证患者。按术式不同分为观察组和对照组，每组64例。观察组男34例，女30例，年龄24～74岁，平均年龄(52.14±10.21)岁;病程4～11年，平均病程(5.82±1.14)年。对照组男31例，女33例，年龄25～73岁，平均年龄(50.26±10.24)岁;病程5～10年，平均病程(5.81±1.06)年。两组患者性别、年龄、病程等一般资料相比，差异无统计学意义(P>0.05)，有可比性。, 百拇医药(张兰宇)