鼻内镜辅助超声刀扁桃体切除术(附31例报告)

Using ultracision-harmonic scalpel as major instrument for tonsillectomy via nasal endoscope (a report of 31 cases)

目的:探讨超声刀实施扁桃体切除术的可行性。方法:鼻内镜直视下放大,采用超声刀行扁桃体切除术31例,并与同期常规扁桃体剥离术比较,观察术中出血量、手术时间、术后疼痛程度、炎性肿胀范围、住院天数。结果:超声刀组各项观察指标均明显优于常规手术组,术中出血量、手术时间比较,均差异有统计学意义(均P<0.01)。结论:超声刀在扁桃体切除术中的应用是安全、有效、可行的,在耳鼻咽喉手术中具有良好的应用前景。

Objective： To investigate the feasibility of applying ultracision-harmonic scalpel in tonsillectomy. Method：Thirty-one cases treated with tonsillectomy which applied with nasal endoscope and ultracision-harmonic scalpel （ultrasonic scalpel group） and 31 cases treated with routine operation （routine group） respectively. The operating time and blood loss during operation and the degree of pain and the region of inflammation tumidity as well as hospitalization days were observed. Result： All indexes in ultrasonic scalpel group were lower than that in the routine group, including operating time and blood loss during operation, and they were obviously difference in statistics （P〈0.01）. Conclusion： The application of ultracision-harmonic scalpel in tonsillectomy was safe, efficient and feasible, and would have a nice application prospect during ear-nose-throat operation.