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1983年以来,我室在冷冻专科门诊中,应用液氮冷冻疗法治疗扁桃体残体患者,取得较好疗效.现将资料完整并经随访的34例报告如下.1 临床资料34例扁桃体切除术后残体患者中,男19例,女15例;年龄16~65岁.平均24岁.其中扁桃体鳞癌放疗后残体患者2例,男女各1例,均为T_1N_1M_0.病程0.5~6年.曾行扁桃体剥离术12例,扁桃体挤切术20例.患者多有咽部异物感、不适、疼痛、发于、刺激性咳嗽等;急性发作时,还可出现如同急性咽峡炎之全身症状.如发烧、头痛、乏力等.检查:34例中,残体位于扁桃体下极29例(右侧11例,左侧18例);残体位于扁桃体上极3例.残体大小为0.5~1.0 cm.2例扁桃体癌放疗后残体均为右侧扁桃体下极,残体大小为1.0~1.5 cm.2 治疗方法治疗均在本科冷冻门诊进行.使用WE 78-I型解体式冷疗器,液氮作冷源物质.
Since 1983, my room in the frozen specialist clinic, the application of liquid nitrogen cryotherapy for the treatment of patients with tonsil residue, and achieved good results. Now the data are complete and followed up 34 cases are reported as follows.1 Clinical data of 34 cases of tonsillectomy The remaining patients, 19 males and 15 females, aged 16 to 65 years old, with an average of 24 years old.Among them, 2 cases of residual tumor in tonsil squamous cell carcinoma after radiotherapy, 1 case of male and female, were T_1N_1M_0 course of 0.5-6 years. Tonsillectomy was performed in 12 cases, Tonsillectomy in 20 cases.Patients with pharyngeal foreign body sensation, discomfort, pain, hair, irritating cough, etc .; acute attack, but also can appear as acute angina systemic symptoms Such as fever, headache, weakness, etc. Examination: In 34 cases, the remnant was located in the lower pole of the tonsils in 29 cases (right side in 11 cases and left side in 18 cases) 1.0 cm.2 cases of tonsil cancer after radiotherapy were the right side of the residual tonsils, residual size of 1.0 ~ 1.5 cm.2 treatment are undergone in the Department of frozen clinics using WE 78-I disintegration type cold therapy device , Liquid nitrogen as a cold source material.