儿童扁桃体切除术后创面缝合的疗效观察

Therapeutic observation of incision closing after tonsillectomy in children

目的比较儿童扁桃体切除术后缝合处理扁桃体创面与常规压迫止血法两种方式对患儿术后的影响。方法在68例患者中随机抽取34例为扁桃体切除术后缝合处理扁桃体创面,其余34例为扁桃体切除术后创面常规压迫止血法,对术后出血量,术后伪膜形成,腭弓、悬雍垂肿胀淤血情况,术腔有无积脓,进食情况等进行比较。结果儿童扁桃体切除术后缝合处理扁桃体创面较常规压迫止血法对患儿术后的影响小,经统计学Fisher’s确切概率法检验,P<0.05。结论儿童扁桃体切除术后缝合处理扁桃体创面并发症少,恢复快。

Objective To compare the influence of incision closing and pressing hemostasis on the recovery of the surgical injured area of tonsilla after tonsillectomy in children. Methods A total of 68 randomly selected chronic tonsillitis children were studied. Of them, 34 were managed with incision closing after tonsillectomy, while the others were treated with routine pressing hemostasis. Parameters analyzed include volume of bleeding, formation of pseudomembrane, tumescence and congestion of the palatine arch and uvula, empyema of incision, diet after operalion. Results The influence of incision closing on the recovery of the surgical injured area of tonsilla is less than that of routine pressing hemostasis after tonsillectomy in children （ P 〈 0. 05 ）. Conclusion Incision closing of the surgical injured area after tonsillectomy of children has fewer complications and favors the recovery of surgical injured area of tonsilla.