低温等离子治疗舌扁桃体肥大所致的咽异感症

Radiofrequency coblation for treatment of abnormal sensation of throat induced by the hypertrophy of lingual tonsil

目的:探讨鼻内镜辅助下等离子射频消融术治疗舌扁桃体肥大所致的咽异感症的临床疗效。方法:应用30°鼻内镜下低温等离子射频消融术治疗307例舌扁桃体肥大患者,观察术区创面生长情况、术后疼痛、术中术后出血情况及术后疗效。结果:咽部异物感主观症状VAS评分从术前的(9.3±0.6)分降至术后的(3.7±2.4)分,差异有统计学意义(P<0.05)。本组患者治愈率为84.4%,显效率为6.8%,有效率为4.6%,总有效率为95.8%。术后30~45d白膜脱落,无明显疼痛。术中平均出血量为(5.2±2.4)ml;术后11例(3.6%)患者继发出血;随访6~36个月无复发。结论:鼻内镜辅助下等离子射频消融术治疗舌扁桃体肥大所致的咽异感症是一种安全、有效的治疗方法,值得临床上推广。

Objective：The aim of the present study was to evaluate the effects of radiofrequency coblation sur- gery for treatment of abnormal sensation of throat induced by the hypertrophy of lingual tonsil. Method： Three hundred and seven patients affected by abnormal sensation of throat induced by the hypertrophy of lingual tonsil were enrolled. Radiofrequency coblation was performed on all patients under nasal endoscopy. A comprehensive statistics were obtained from all the participants regarding the recovery of wound surface, postoperative pain, intra and postoperative bleeding and the effects of the procedure. Result：The VAS score of abnormal sensation of throat was reduced from （9.3_＋0.6）to （3.7＋2.4）（P〈0.05）after the operation. 84.4% of the abnormal sensation dis- appeared, no recurrence within six month; 6.8% of the abnormal sensation largely reduced within six month; 4.6% of the abnormal sensation reduced within six month. There was no significant postoperative pain. 3. 6%（11/307） of patients experienced postoperative hemorrhage. The follow-up period ranged from 6 to 36 months,there was no recurrence. Conclusion..Radiofrequency coblation is a useful surgical technique, as effective as, or even superior to, other surgical techniques when dealing with patients suffering from abnormal sensation of throat in- duced by the hypertrophy of lingual tonsil with potentially fewer adverse effects and subsequently improved quality of life for patients.