慢性扁桃体炎患者应用低温等离子射频刀扁桃体切除术的效果分析

Analysis of the Effect of Low-temperature Plasma Radiofrequency Knife Tonsillectomy in Patients with Chronic Tonsillitis

目的探讨慢性扁桃体炎患者应用低温等离子射频刀扁桃体切除术的效果。方法选择2017年1月—2019年12月该院收治的96例慢性扁桃体炎患者,以随机数表法将其分为对照组与研究组,各48例。对照组行传统扁桃体切除术,研究组行低温等离子射频刀扁桃体切除术。对比两组各项临床指标、术前与术后血清炎症因子超敏C-反应蛋白(hs-CRP)与肿瘤坏死因子-α(TNF-α)以及术后并发症。结果研究组手术时间(13.5±2.6)min、术中失血量(7.8±2.0)mL、术后3 d时视觉模拟评分(VAS)(3.5±0.5)分、进食时间(2.3±0.5)d均低于对照组(31.5±4.0)min、(15.0±2.6)mL、(5.5±0.4)分、(3.6±0.5)d,差异有统计学意义(t=26.140、15.207、21.640、12.737,P<0.05),术后hs-CRP(4.2±0.3)mg/L与TNF-α(14.2±0.5)pg/mL低于对照组(12.0±0.5)mg/L、(26.3±0.8)pg/mL,差异有统计学意义(t=92.678、88.861,P<0.05),术后并发症发生率4.17%低于对照组18.75%,差异有统计学意义(χ^(2)=5.031,P<0.05)。结论低温等离子射频刀扁桃体切除术治疗慢性扁桃体炎效果确切,且安全性佳。

Objective To investigate the effect of low-temperature plasma radiofrequency knife tonsillectomy in patients with chronic tonsillitis.Methods A total of 96 patients with chronic tonsillitis who were admitted to the hospital from January 2017 to December 2019 were selected and divided into a control group and a study group with 48 cases by random number table method.The control group underwent traditional tonsillectomy,and the study group underwent low-temperature plasma radiofrequency tonsillectomy.The clinical indicators,serum inflammatory factor hypersensitivity C-reactive protein(hs-CRP)and tumor necrosis factor-α(TNF-α)before and after surgery were compared between the two groups,as well as postoperative complications.Results The operation time of the study group was(13.5±2.6)min,intraoperative blood loss(7.8±2.0)mL,visual analogue scale(VAS)(3.5±0.5)points at 3 d postoperatively,and eating time(2.3±0.5)d,lower than the control group(31.5±4.0)min,(15.0±2.6)mL,(5.5±0.4)points,(3.6±0.5)d,the difference was statistically significant(t=26.140,15.207,21.640,12.737,P<0.05),after operation hs-CRP(4.2±0.3)mg/L and TNF-α(14.2±0.5)pg/mL were lower than the control group(12.0±0.5)mg/L,(26.3±0.8)pg/mL,the difference was statistically significant(t=92.678,88.861,P<0.05),the postoperative complication rate was 4.17%lower than that of the control group 18.75%,the difference was statistically significant(χ^(2)=5.031,P<0.05).Conclusion Low-temperature plasma radiofrequency knife tonsillectomy is effective in the treatment of chronic tonsillitis,and it is safe and suitable for clinical promotion.