低温等离子扁桃体切除术治疗慢性扁桃体炎及扁桃体肥大的临床疗效

Clinical Effect of Low-temperature Plasma Tonsillectomy in the Treatment of Chronic Tonsillitis and Tonsillar Hypertrophy

目的探究低温等离子扁桃体切除术应用于慢性扁桃体炎、扁桃体肥大患者治疗中的临床疗效。方法随机选取该院在2019年10月—2021年9月收治的80例慢性扁桃体炎及扁桃体肥大患者为研究对象,基于自愿原则与治疗方案不同,将患者划分为两组。40例接受扁桃体剥离术治疗的患者入选对照组,40例接受低温等离子扁桃体切除术治疗患者入选观察组。比较两组患者临床指标差异,评估患者术后不同时段疼痛程度,检测患者血清炎症因子水平差异。结果相比于对照组,经手术治疗后,观察组手术时间、术后进食时间及术中出血量明显更短,差异有统计学意义(P<0.05);观察组术后1、3、5、7 d的VAS疼痛评分均少于对照组,差异有统计学意义(P<0.05);观察组手术后,患者超敏C-反应蛋白(hs-CRP)(14.18±0.51)mg/L、肿瘤坏死因子-α(TNF-α)(4.23±0.31)pg/mL明显更少,差异有统计学意义(P<0.05);观察组术后发生出血、悬雍垂水肿患者5例,并发症发生率12.50%,显著少于对照组,差异有统计学意义(χ^(2)=4.588,P<0.05)。结论将低温等离子扁桃体切除术应用于慢性扁桃体炎及扁桃体肥大患者临床治疗,患者术中失血量减少明显,进一步缓解了患者的临床痛感,调节了患者的血清炎症因子水平。

Objective To explore the clinical efficacy of low-temperature plasma tonsillectomy in the treatment of patients with chronic tonsillitis and tonsillar hypertrophy.Methods 80 patients with chronic tonsillitis and tonsillar hypertrophy admitted to the hospital from October 2019 to September 2021 were randomly selected.Based on the principle of voluntary and different treatment plan,the patients were divided into two groups,40 patients who received tonsillectomy were selected as the control group,and 40 patients who received low-temperature plasma tonsillectomy were selected as the observation group.Pay attention to the differences in clinical indicators of patients,and evaluateed the degree of pain in different periods after surgery,detected the difference in serum inflammatory factor levels in patients.Results Compared with the control group,after surgical treatment,the observation group had significantly shorter operation time,postoperative eating time and intraoperative blood loss,and the difference was statistically significant(P<0.05).After surgery,the VAS pain scores of the observation group at 1 d,3 d,5 d,and 7 d after surgery were lower than those of the control group,,and the difference was statistically significant(P<0.05).After surgery in the observation group,patients with high-sensitivity C-reactive protein(hs-CRP)(14.18±0.51)mg/L and TNF-α(4.23±0.31)pg/mL were significantly less,and the difference was statistically significant(P<0.05);patients in the observation group had bleeding and uvular edema after surgery of 5 cases,the complication rate was 12.50%,which was significantly lower than that of the control group,and the difference was statistically significant(χ^(2)=4.588,P<0.05).Conclusion The application of low-temperature plasma tonsillectomy to the clinical treatment of patients with chronic tonsillitis and tonsillar hypertrophy can significantly reduce blood loss during the operation.It further alleviates the patient's clinical pain and regulates the patient's serum inflammatory factor level.