高频电刀与传统扁桃体剥离术切除扁桃体疗效评价

摘要

Objective To explore the advantages of high-frequency electric scalpel for tonsillectomy .Meth-ods A retrospective analysis of clinical data was made in 128 cases of tonsillectomy from June 2010 to June 2013 in our hospital.The 63 cases who received tonsillectomy by tranditional operation were chosen as control group , and 65 cases who received tonsillectomy by high-frequency electric scalpel were chosen as observation group .A comparison was made in the opetative time , intraoperative bleeding volume , the postoperative recovery time of normal diet , the duration of pain , the fall-off time of pseudomembrane and the pain score between two groups .Results The operative time, intraoperatice bleeding volume , the postoperative recovery time of normal diet and the duration of pain in the observation group were significantly shorter than those in the control group ( P<0.01 or P<0.05 ) , and its fall-off time of pseudomembrane was significantly longer ( P<0.01 ) .The excellent rate of pain score in observation group was 96.9%(63/65), it was 34.9%(22/63) in the control group, there was significant differences between the two groups(P<0.05).Conclusion The high-frequency electric scalpel can shorten the operative time , reduce the intra-operative bleeding volume and accelerate postoperative rehabilitation .It has obvious advantages compared with trandi-tional tonsillectomy .%目的：探讨高频电刀在扁桃体切除术中的优势。方法回顾性分析2010－06～2013－06该院收治并需切除扁桃体128例患者的临床资料。按随机数字表法随机分为两组。观察组65例行高频电刀切除治疗，对照组63例行传统剥离术治疗，比较两组患者手术时间、术中出血量、术后正常饮食恢复时间、疼痛持续时间、伪膜脱落时间及疼痛评分等。结果观察组手术时间、术中出血量、术后正常饮食恢复时间、疼痛持续时间均短于或少于对照组（ P＜0．01或P＜0．05），伪膜脱落时间明显长于对照组（ P＜0．01）；观察组疼痛评分优良率为96．9％（63／65），对照组为34．9％（22／63），两组比较差异有统计学意义（ P＜0．05）。结论高频电刀能明显缩短手术时间，减少术中出血量，加快术后康复，与传统扁桃体切除术相比较具有较明显优势。