内镜辅助下动力切割技术治疗慢性扁桃体炎意义探讨

doi:10.13418/j.issn.1001-165x.2018.01.024

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (1): 105-107.doi: 10.13418/j.issn.1001-165x.2018.01.024

内镜辅助下动力切割技术治疗慢性扁桃体炎意义探讨

卢汉桂¹，　陈晓明²，　曾宪平³，　曹宸⁴，　郭雪雪⁴，　魏佳炜¹，　陈合新⁴

1.汕头市中心医院耳鼻咽喉头颈外科，汕头   515031；    2.广州医科大学附属第二医院番禺院区耳鼻咽喉科，广州   511447；
3.佛山市第一人民医院耳鼻咽喉头颈外科,   佛山   528000;    4.中山大学附属第一医院耳鼻咽喉科医院，
中山大学耳鼻咽喉科研究所, 广州    510006

收稿日期:2017-10-23 出版日期:2018-01-25 发布日期:2018-03-06
通讯作者: 陈合新，教授，博士生导师， Tel：13802905858，E-mail:chenhexin9999@126.com
作者简介:卢汉桂（1980-），男，博士，主治医师，主要研究方向：耳鼻咽喉科基础与临床研究，Tel：13592873617?，E-mail：sandro_gui@126.com
基金资助:
广东省科技计划项目（2015A030302017）；广州市科技计划项目（201605122049363）

Study on technique of performing tonsillectomy on chronic tonsillitis patients by endoscopic surgery

LU Han-gui¹, CHEN Xiao-ming², ZENG Xian-ping³, CAO Chen⁴, GUO Xue-xue⁴, WEI Jia-wei¹, CHEN He-xin⁴

1. Department of Otolaryngology-Head and neck Surgery, The Central Hospital of Shantou City, Shantou 515031, China；2. Department of Otolaryngology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 511447, China；3. Department of Otolaryngology-Head and Neck Surgery, The First People's Hospital of Foshan, Foshan 528000, China; 4. Hospital of Otolaryngology, The First Affiliated Hospital of Sun Yat-sen University, The Research Institute of Otolaryngology of Sun Yat-sen University, Guangzhou 510515, China

Received:2017-10-23 Online:2018-01-25 Published:2018-03-06

摘要/Abstract

摘要：

目的　探讨经鼻内镜外科技术切割扁桃体的意义和手术技巧。方法　随机将64例慢性扁桃体炎患者分为电动切割组和剥离组，每组各32例。比较两组的术中出血量、术后手术时间、术后第7天白膜脱落情况及疼痛分数。结果　电动切割组较剥离组手术时间短、术中出血量少、术后疼痛分数显著性降低（P>0.05）；但白膜脱落情况及术后患者恢复正常饮食时间未见明显差异。结论　鼻内镜辅助下采用电外科技术进行扁桃体切除具有安全、快速、术后并发症少等明显优势，值得临床广泛推广。

关键词: 扁桃体炎, 　切除术, 　剥离法

Abstract:

Objective　To investigate the meaning and the surgical techniques of performing tonsillectomy by endoscopic surgery.　Method　32 patients were treated by tonsillectomy (incising group) and 32 patients were treated by conventional stripping surgery (stripping group). The operation time, operation bleeding parameters, albuginea shedding as well as postoperative pain scale were compared and analyzed. Result　The incising group has much shorter operation time, milder postoperative pain and less blood loss (P<0.05). However, albuginea shedding and the time returning to normal diet did not significantly differ (P>0.05). Conclusion The tonsillectomy by endoscopic surgery is safer, faster with less postoperative complications than conventional stripping surgery, which is worth popularizing.

Key words: Tonsillitis；　Incising, 　Stripping surgery

卢汉桂,陈晓明,曾宪平,曹宸,郭雪雪,魏佳炜,陈合新. 内镜辅助下动力切割技术治疗慢性扁桃体炎意义探讨[J]. 中国临床解剖学杂志, 2018, 36(1): 105-107.

LU Han-gui, CHEN Xiao-ming, ZENG Xian-ping, CAO Chen, GUO Xue-xue, WEI Jia-wei, CHEN He-xin. Study on technique of performing tonsillectomy on chronic tonsillitis patients by endoscopic surgery[J]. Chinese Journal Of Clinical Anatomy, 2018, 36(1): 105-107.

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内镜辅助下动力切割技术治疗慢性扁桃体炎意义探讨

Study on technique of performing tonsillectomy on chronic tonsillitis patients by endoscopic surgery

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