传统方法切除扁桃体双极止血和超声刀切除扁桃体的效果比较

Comparison of traditional methods for removing tonsil bipolar hemostasis and ultrasonic ablation of tonsils

目的 对比分析传统方法切除扁桃体双极止血和超声刀切除扁桃体的效果。方法 选取2015年2月至2018年6月本院耳鼻喉科收治的86例慢性扁桃体炎、扁桃体良性肿大患者随机分为观察组和对照组,观察组给予超声刀切除扁桃体,对照组给予传统方法切除扁桃体双极止血,比较两组术中出血量、手术时间、咽部水肿评分、恢复活动时间、恢复饮食时间、伪膜开始脱落时间,术后1、3、5、7d内VAS评分。结果 观察组患者手术时间较对照组显著缩短,术中出血量较对照组显著减少,恢复活动时间、恢复饮食时间、伪膜开始脱落时间较对照组显著缩短,咽部水肿评分较对照组显著降低,差异均具有统计学意义(P<0.05),术后1、3、5、7d内观察组患者VAS评分较对照组均显著降低,差异具有统计学意义(P<0.05)。结论 超声刀切除扁桃体能够减少手术时间以及出血量,降低术后疼痛,促进恢复,值得推广。

Objective To compare and analyze the effect of traditional methods for resection of tonsil bipolar hemostasis and ultrasonic ablation of tonsils. Methods Eighty-six patients with chronic tonsillitis and benign tonsils admitted to our hospital from February 2015 to June 2018 were randomly divided into observation group and control group.The observation group was given an ultrasonic knife to remove the tonsils,and the control group was given a conventional method to remove tonsil bipolar hemostasis.The intraoperative blood loss,operation time,pharyngeal edema score,recovery activity time,recovery time,and pseudomembrane detachment time were compared between the two groups.The VAS scores were 1,3,5,and 7 days after operation. Results The operation time of the observation group was significantly shorter than that of the control group,and the amount of intraoperative blood loss was significantly lower than that of the control group.The recovery time,recovery time,and pseudo-membrane detachment time were significantly shorter than the control group,and the pharyngeal edema score was significantly lower than the control group,and the difference was statistically significant ( P <0.05).The VAS scores of the observation group were significantly lower than those of the control group at 1,3,5,and 7 days after operation,and the difference was statistically significant ( P <0.05). Conclusion Ultrasonic knife resection of tonsil can shorten the operation time,reduce the amount of bleeding,relieve postoperative pain and promote the recovery of patients' diseases.It is worth promoting.