改良戴维氏开口器在扁桃体切除术中的临床应用

Application of modified Davis-Boyle Mouth Gag in tonsillectomy

目的探讨改良戴维氏开口器辅助扁桃体切除术的应用效果。方法回顾自2017年7月—2021年2月收治的110例符合扁桃体切除手术指征的患者,试验组55例,行改良戴维氏开口器辅助下扁桃体切除术;对照组55例,行传统戴维氏开口器辅助下扁桃体切除术。比较两组扁桃体下极暴露效果、开口器暴露术野完成时间、全部手术时间以及扁桃体下极残留、咽舌弓黏膜撕裂、舌麻痹等情况。结果与对照组相比实验组扁桃体下极视野暴露更清楚,术野暴露时间及手术时间更短,扁桃体下极残留、舌麻痹、咽舌弓撕裂发生率较低。结论改良戴维氏开口器辅助下扁桃体切除术具有较好的手术视野,有利于提高手术质量、缩短手术时间,值得临床推广应用。

Objective To evaluate the effect of modified Davis-Boyle Mouth Gag in tonsillectomy.Methods A total of 110 patients were retrospectively reviewed,who met the criteria for tonsillectomy admitted from July 2017 to February 2021.In the experimental group,55 patients underwent modified Davis-Boyle Mouth Gag assisted tonsillectomy,while in the control group,55 patients underwent traditional Davis-Boyle Mouth Gag assisted tonsillectomy.The results of the two groups were compared in the following aspects:the effect of subtonsil extreme exposure,the completion time of the exposure field,the total operation time,the residue of subtonsil extreme,the tear of the Mucosa of the pharyngeal arch and the paralysis of the tongue.Results Compared with the traditional Davis-Boyle Mouth Gag assisted tonsillectomy,the modified Davis-Boyle Mouth Gag assisted tonsillectomy had a better exposure of the lower pole of the tonsillectomy field,a shorter exposure time and operation time,a lower residue of Tonsil,lower incidence of tongue paralysis and tear of pharyngeal-lingual arch.Conclusion Tonsillectomy with Modified Davis-Boyle Mouth Gag has a better visual field,which is beneficial to improve the quality of surgery,and shorten the operation time.It is worthy of clinical application.