咽腭弓肌黏膜瓣闭合扁桃体等离子术后创面的临床疗效

Clinical efficacy of the pharyngopalatine arch muscle mucosal flap for tonsillectomy wound closure after plasma surgery

目的对扁桃体等离子切除术的术式进行改进,分析咽腭肌黏膜瓣闭合扁桃体等离子术创面对术后疗效的改善情况。方法对需行扁桃体等离子切除术患者进行随机分组。105例行常规扁桃体等离子切除术(大多数囊内切除),94例在扁桃体等离子切除后制作局部咽腭肌黏膜瓣闭合扁桃体窝创面。对两组患者的术后疼痛、创面反应及出血情况进行分类统计,分析比较应用咽腭肌黏膜瓣修复的临床效果。结果在术后第1至第7天,实验组与对照组患者间的疼痛程度、创面反应情况及出血并发症的发生均有差异。实验组不同层次疼痛程度的病例数明显少于对照组,术后创面反应观察中,实验组白膜脱落时间较对照组明显缩短,出血概率明显减低。结论应用咽腭肌黏膜瓣闭合扁桃体等离子切除后创面操作简便,可明显改善患者术后疼痛,促进创面愈合,减少创面术后出血概率。

Objective We aimed to improve the procedure of tonsillectomy by plasma resection and analyze the improvement of the curative effect after tonsil plasma surgery with wound closure using the pharyngopalatine arch muscle mucosal flap. Methods Patients who underwent tonsillectomy were randomly divided into two groups. Conventional tonsillectomy was performed in 105 cases, whereas partially separated pharyngopalatine arch muscle mucosal flap placement was performed after tonsillectomy in 94 cases to close the tonsillar fossa. Data on postoperative pain, wound healing, and bleeding were analyzed and compared between the two groups. Results During the first 7 days after operation, pain severity was significantly less in the experiment group than in the control group. The differences in wound healing and postoperative bleeding rates between the experiment and control groups were also statistically significant. Conclusion Operation using a pharyngeal muscle mucosal flap to close the tonsil plasma is easy and can reduce postoperative pain, promote wound healing, and reduce the risk of surgical wound bleeding.