低温等离子射频扁桃体包膜内部分切除术与剥离切除术治疗慢性扁桃体炎疗效分析

Comparison Between Coblation Plus Partial Intracapsular Tonsillectomy and Conventional Tonsillectomy in the Treatment of Chronic Tonsillitis

目的:探讨低温等离子射频扁桃体部分切除术在治疗慢性扁桃体炎手术中优势。方法:64例慢性增生性扁桃体炎患者随机分组,采取传统剥离法切除扁桃体和低温等离子射频行包膜内扁桃体部分切除,观察2组手术时间、术中出血量、术后疼痛评分及随访术后12-18月反复发炎情况。结果:低温等离子射频扁桃体部分切除术组的手术时间、术中出血量、术后疼痛评分均低于传统扁桃体剥离全切除术组(P<0.05),2组均未见术后反复发炎情况。结论:低温等离子射频扁桃体部分切除术治疗慢性扁桃体炎优于传统剥离方法。

Objective： To explore the advantages of coblation plus partial intracapsular tonsillectomy in the treatment of chronic tonsilitis.Methods： Sixty-four patients with chronic tonsilitis were divided randomly into two groups as coblation group（coblation plus partial intracapsular tonsillectomy） and conventional tonsillectomy group.The operation time,blood loss,postoperative pain and recurrence of inflammation were evaluated.Results： The operation time,blood loss,and postoperative pain were significantly less（P0.05） in coblation group than in conventional group.No recurrence of inflammation was observed in both groups.Conclusion： Coblation plus partial intracapsular tonsillectomy was a better method than the conventional one for the treatment of chronic tonsilitis.