低温等离子刀治疗慢性扁桃体炎33例疗效观察.doc

低温等离子刀治疗慢性扁桃体炎33例疗效观察
作者:向月应,唐林卡,王惠,曹国辉,黎业生
【摘要】目的探讨低温等离子刀治疗慢性扁桃体炎的疗效及其安全性。方法采用低温等离子刀治疗慢性扁桃体炎。结果对33例慢性扁桃体炎患者3~6个月疗效观察表明,该方法安全,效果明确,疼痛较轻,术中和术后出血少等;治愈率为100%。结论低温等离子刀治疗慢性扁桃体炎,具有疗效确切、安全、精确、损伤小、并发症少等优点,具有很好的临床应用价值。
【关键词】低温等离子刀;慢性扁桃体炎;扁桃体切除术
Abstract: Objective To discuss to therapeutic effect of low temperaturecontrolled plasma radiofrequency ablation on chonic tonsillitis and its safety. Methods Low temperaturecontrolled plasma radiofrequency ablation was applied to the therapy of 33 patients with chonic tonsillitis. Results The application of low temperaturecontrolled plasma radiofrequency ablation was safe and effective on the patients with little pain and bleeding during or after operation, according t
o 3~6 months' followup. The healup rate was 100%. Conclusion Low temperaturecontrolled plasma radiofrequency ablation is definitely and safely effective on chonic tonsillitis, which shows excellent applicable value.
Key words: low temperaturecontrolled plasma radiofrequency ablation; chonic tonsillitis; tonsillectomy
扁桃体手术通常的方法有扁桃体切除术、扁桃体挤切、超声刀切除、激光切除、微波切除等。低温等离子刀作为一种新的手术器械和手术方法进入了大家的视野[1,2];低温等离子刀治疗慢性扁桃体炎,是利用低温等离子具有超低温(40~70 ℃),止血功能强,无辐射的特点,对肥大的扁桃体进行切割,完整摘除病变扁桃体,达到治愈扁桃体炎的目的。2005年3月—2005年9月,我院采用低温等离子刀切割扁桃体33例,现将结果报告如下。
1 资料与方法
一般资料
本组33例,均为慢性扁桃体炎,扁桃体肥大Ⅱ~Ⅲ度,其中Ⅱ度12例,Ⅲ度21例;男24例,女9例;年龄5~34岁,;病程3~10年,。主要临床症状有咽痛、咽干、打鼾。病例选择标准:(1)慢性扁桃体炎,每年急性