显微镜下低温等离子治疗会厌囊肿疗效观察

Therapeutic effect of hypothermia plasma on epiglottic cyst under microscope

目的探讨显微镜下低温等离子治疗会厌囊肿的临床疗效及安全性。方法回顾性分析钦州市第二人民医院2017年6月—2019年12月收治120例会厌囊肿患者手术治疗的临床资料,根据手术方案分为观察组及对照组。观察组采取显微镜下低温等离子治疗,对照组采取电刀切除手术治疗,比较2组手术时间、术中出血量、术后疼痛情况以及术后并发症发生率;术后随访半年,比较2组的复发率。结果观察组手术时间、术中出血量、术后疼痛、术后并发症明显低于对照组(P<0.05);2组术后复发率对比,差异无明显统计学意义(P>0.05)。结论显微镜下低温等离子治疗会厌囊肿时间短、出血少、术后疼痛轻,术后并发症发生率低,且未增加术后复发率,值得临床推广。

Objective To investigate the effect and security of hypothermia plasma under microscope on epiglottic cyst.Methods Retrospective analysis period was from June 2017 to November 2019.A total of 120 subjects were enrolled in the study.All patients were epiglottis cyst patients,which were divided into observation group and control group according to the protocol.The observation group was treated with low-temperature plasma knife and the control group with electric knife.Compare two methods of operation time,blood loss and postoperative pain and incidence of postoperative complications.Follow-up of 6 months after operation,recurrence rates were compared between the two groups.Results The difference between the observation group(24.457±10.349)min and the control group(31.697±18.872)min was statistically significant(t=-2.716,P=0.008).The blood loss in the observation group(6.852±3.518)ml was significantly different from that in the control group(8.847±5.140)min(t=-2.482,P=0.014).The VAS score of the observation group had significant difference between the first day(4.203±2.514),the third day(5.197±2.438)after operation and the first day(2.766±1.941),the third day(3.519±1.865)in the control group(t=-2.197,-2.197,P=0.030,0.032).There was significant difference in the incidence of postoperative complications between the two groups(P<0.05).There was no significant difference between the two groups(P>0.05)Conclusion The treatment of patients with epigastric cyst by low temperature plasma microscopy than the traditional electric knife treatment,shorter operative time,less blood loss,postoperative pain relief,reduce the incidence of postoperative complications,no increase in postoperative postoperative recurrence rate,it is worth in the clinical application and promotion.