经口入路低温等离子射频辅助手术治疗茎突综合征

Low-temperature plasma assisted via mouth for surgery treating styloid process syndrome

目的:比较经口入路低温等离子射频辅助手术治疗茎突综合征与传统经口入路扁桃体切除后治疗茎突综合征两者的区别。方法:选取23例茎突综合征患者,其中13例采用经口入路低温等离子射频辅助行茎突截短,10例采用传统扁桃体切除后行茎突截短,比较2种手术方法的手术时间、术中出血量、术后疼痛评分、假膜脱落时间及疗效评价。结果:2种手术方法的手术时间、术中出血量及术后疼痛评分差异有统计学意义(P<0.01);假膜脱落时间及疗效评价差异无统计学意义(P>0.05)。低温等离子手术术后未出现迟发性出血;传统手术术后出现1例迟发性出血。结论:2种手术方法均为治疗茎突综合征的有效方式。但经口入路低温等离子射频辅助手术治疗茎突综合征具有手术时间短、术中出血少及术后疼痛轻等优点,且保留了扁桃体的形态和功能,手术简单方便,视野清楚,操作安全,符合微创理念。

Objective：To compare the low-temperature plasma assisted way and the traditional method in sur-gery treating styloid process syndrome. Method： The clinical data from 23 patients who have a typical syndrome and need surgery treating, thirteen patients had been treated by low-temperature plasmaal way and the left cases by tra-ditional one. Comparing operation time,amount of bleeding,degree of pain, time of the fake membrane falling and effort estimating. Result：The difference of operation time, amount of bleeding and degree of pain between low-tem-perature plasma and tradition in the two operation procedures is Significant（P〈0. 01）. But time of the fake mem-brane falling and effort estimating of low-temperature plasmaal and traditional procedures are found to be similar （P〉0.05）. And one patient who used the traditional operation bled when hewas at home. Conclusion：The two op-eration procedures are both effective. The low-temperature plasma assisted via mouth for surgery treating elonga-ted styloid process has a big advantage in operation time,amount of bleeding and degree of pain. For the more,it reserves the function and morphology of tonsil ~ which is more simple,convenient, safe and tiny wound.