儿童扁桃体剥离切除缝合术与单纯扁桃体剥离切除术的术后比较

摘要

目的 比较儿童扁桃体剥离切除缝合术与单纯扁桃体剥离切除术术后的风险及并发症.方法 采用病例-对照研究设计比较两种手术方式术后再出血率、体温以及平均住院天数的差异.结果 儿童扁桃体剥离切除缝合术再出血发生率、术后发热率、平均住院天数均优于单纯扁桃体剥离切除术.结论 儿童扁桃体剥离切除缝合术是一种有效降低儿童扁桃体术后并发症的有效方法,有效控制术后出血,有效预防手术创面感染,能有效扩大咽腔的体积,有效预防再次打鼾,有效防止术后刨面与舌根的粘连,减少瘢痕形成,经济,操作性强,具有较高的临床价值,值得推广.%Objective To compare risk of postoperativecompli cation between tonsillectomy plus Suture and simple tonsill ectomy in children. Methods Case-controlled study design was employed. The postoperative complications including Risk of rebleeding , fever and duration in hospital were compared. Results Compared with simple tonsillectomy , tonsillectomy plus suture was superior in the risk of postoperative complication including rate of rebleeding , fever and duration in hospital in children. Conclusion Tonsillectomy plus suture can effectively control the postoperative hemorrhage, prevent the infection of the operation wound , amplificate pharyngeal cavity , prevent snoring, prevent the adhesion of the wond of the tongue base and reduce the scar formation. It is a economical and simple method.