成人负压扁桃体电切术临床观察65例

Adult Negative Pressure Inhaled Tonsil Electricity Cut Method:A Clinical Observation of 65 Cases

目的评价负压扁桃体电切术的实用价值。方法 132例慢性扁桃体炎成人患者随机分成两组:治疗组65例,采用负压扁桃体电切术切除扁桃体125枚;对照组67例,采用剥离法切除扁桃体128枚。观察手术时间、术中出血、术后疼痛。结果治疗组手术时间(3.87±2.58)min,术中出血(3.74±2.93)mL,术后第1天、第3天、第5天VAS疼痛评分分别为(7.03±0.58)、(3.69±0.84)、(3.45±0.86);对照组手术时间(13.27±5.71)min,术中出血(19.36±6.62)mL,术后第1天、第3天、第5天的痛觉-视觉模拟评分分别为(7.82±0.52)、(4.98±0.96)、(4.03±0.69),具有统计学意义(P<0.01)。结论负压扁桃体电切术比扁桃体剥离法切除更具优势。

Objective To study the practical value of negative pressure electric tonsils cut method. Methods All 132 cases adult patients with chronic tonsillitis elected and divided into treatment group （65 cases ）received negative pressure electricity cut method tonsils （ 125 removed） ,and control group （ 67 cases ） received stripping method with tonsils （ 128 removed ）. The difference of operation time, blood loss in operation and postoperative pain were observed. Results The operational time in treatment group was （ 3.87 ± 2.58 ） rain, hemorrhage in operation was （ 3.74 ± 2.93 ）mL, and the visual analog scale.（ VAS ）were （ 7.03 ± 0.58 ）, （ 3.69 ± 0.84 ）and （ 3.45 ± 0.85 ） 1,3,5 days after operation. The operational time in control group was （ 13.27 ± 5.71 ）min, hemorrhage in operation was （ 19.36 ± 6.62 ） mL, and the visual analog scale （ VAS ） were （ 7.82 ± 0.52 ）, （ 4.98 ± 0.96 ） and （ 4.03 ± 0.69 ） 1,3,5 days after operation, and there was a statistically significant difference （P 〈 0.01 ）. Conclusion The negative pressure tonsil electricity cut method shows more attractively advantages than tonsils removed stripping method.