低温等离子刀辅助下腭咽成形术与电刀辅助下腭咽成形术的疗效比较

Comparative study on the clinical effect of palatopharyngoplasty with low- temperature plasma cutter and electric knife

目的:评估低温等离子刀辅助下腭咽成形术(UPPP)与电刀辅助下腭咽成形术在术中、术后对患者的影响。方法:选择2014年1月—2016年3月行腭咽成形术的60例鼾症患者,随机分成对照组和观察组,每组各30例。观察组采用低温等离子刀辅助下腭咽成形术,对照组采用电刀辅助下腭咽成形术,比较两组患者的手术时间、术中出血量及术后疼痛情况。结果:两组患者手术时间及术中出血量比较,差异无统计学意义(P>0.05),术后疼痛方面观察组评分显著低于对照组(P<0.001)。结论:低温等离子刀辅助下腭咽成形术治疗鼾症具有术后疼痛轻的优点,有较好临床应用价值。

Objective：To investigate the clinical effect of palatopharyngoplasty with low- temperature plasma cutter and electric knife on patients during and after operation. Methods： Sixty patients scheduled for palatopharyngoplasty from January2014 to March 2016 in the Second People＇s Hospital of Qinzhou City were classified into two groups randomly. Patients of the observation group（ n = 30） were treated by palatopharyngoplasty with low- temperature plasma cutter,and those in the control group（ n = 30） were treated with palatopharyngoplasty with electric knife. The operation time,amount of bleeding and postoperative pain were compared between the two groups. Results：There were no statistically significant difference in the operation time and the amount of bleeding between the two groups（ P〈0. 05）. The postoperative pain score in the observation group was significantly lower than that the control group（ P〈0. 001）. Conclusion：Palatopharyngoplasty with low- temperature plasma cutter has the advantage of less postoperative pain,which provides favorable clinical value.