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目的研究分析扁桃体切除手术中应用高频电刀电凝切除与传统剥切法对术中、术后患者的影响差异。方法将124例患者病变扁桃体左右两侧随机分为A、B组,A组为高频电刀电凝切除并止血法、B组为传统剥切结扎止血法,比较二种不同方式的手术时间、出血量、术后愈合时间及反应情况。结果A组剥离时间平均3min50s,手术时间平均5min40s,出血量1～4ml;B组剥离时间,平均8min25s,手术时间平均16min35s,出血量12～30ml。二组比较差异有统计学意义(P<0.01)。A组术后疼痛明显(4±1分),白膜厚重,脱落慢(14～21)d,术后恢复正常饮食及生活慢,B组术后疼痛较轻(2±1)分,白膜薄,脱落较快(7±10)d,术后恢复正常饮食及生活快,二组比较差异无统计学意义。结论高频电刀电凝切除法较剥切法时间短,出血量极少,术后局部疼痛明显,扁桃体窝白膜脱落时间长,愈合慢。恢复正常饮食及生活慢,二种手术方法各有优势。
Objective To study the effect of high frequency electrosurgical coagulation excision and conventional dissection on the intraoperative and postoperative patients in tonsillectomy. Methods A total of 124 patients with lesions of tonsil were randomly divided into two groups A and B, group A was treated by electrosurgical coagulation and hemostasis, group B was treated by traditional dissection and ligation and hemostasis, and the operative time was compared between two different methods , Amount of bleeding, postoperative healing time and response. Results A group of stripping time average 3min50s, operation time average 5min40s, bleeding 1 ~ 4ml; B group stripping time, average 8min25s, operation time average 16min35s, bleeding 12 ~ 30ml. The difference between the two groups was statistically significant (P <0.01). The postoperative pain was significantly (4 ± 1) in group A, the thickness of white membrane was thick, the exfoliation was slow (14 ~ 21) d, the normal diet and life was slow after operation. The postoperative pain in group B was lighter (2 ± 1) Thin film, shedding faster (7 ± 10) d, postoperative normal diet and return to normal life, the two groups showed no significant difference. Conclusion The electrosurgical coagulation excision method is shorter than the stripping method, with minimal bleeding, local postoperative pain, long tonsil albuginea shedding, slow healing. To return to normal diet and slow life, the two surgical methods have their own advantages.