胸外科长柄电刀在会厌囊肿切除术中的应用

Application of long handled electric knife in epiglottic cyst resection

目的探讨应用胸外科长柄电刀切除会厌囊肿的疗效。方法将66例会厌囊肿患者随机分成胸外科长柄电刀切除组(实验组)及常规摘除组(对照组),每组33例。两组均在气管插管静脉复合全麻下行支撑喉镜下手术,比较二组术中出血量、手术时间、术后疼痛程度、术后疗效。结果实验组与对照组比较,前者术中出血量明显减少,手术时间明显缩短,术后疗效明显好,差异具有统计学意义(P<0.05);两者术后疼痛程度比较,差异无统计学意义(P>0.05)。结论采用胸外科长柄电刀在支撑喉镜下切除会厌囊肿具有术中视野清晰、出血量少、手术时间快短、术后疗效好等优点。

Objective To investigate the impact of long handled electric knife in epiglottis cyst excision.Methods 66 cases of epiglottic cysts were randomly divided into the experimental group and control group.Each group had33 cases and all the cases were operated under general anesthesia.The operation time,bleeding loss during operation,postopera-tive pain,postoperative recovery were compared between the two groups.Results Compared with the control group, the amount of bleeding during operation were obviously reduced,while the operation time was shortened andthe postop-erative curative effect was better in the experimental group （P 〈0.05）;there was no significant difference in the post-operative pain between the two groups,（P 〉0.05）.Conclusion Long handled electrotome in epiglottis cyst excision shows many advantages,such as good exposure,less bleeding and operation time,better postoperative effect.This method warrants recommendation.