微波扁桃体凝固手术治疗扁桃体疾病的临床研究(1)
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2010年11月15日
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[摘要] 目的：观察微波扁桃体凝固术在治疗扁桃体疾病时的临床疗效。方法：选择本科治疗的98例慢性扁桃体炎或单纯扁桃体肥大患者，将其随机分为观察组和对照组，每组各49例，观察组采用微波扁桃体凝固手术进行治疗，对照组采用传统的扁桃体剥离术进行治疗，记录并比较两组患者的手术时间及术中出血量。结果：微波扁桃体凝固手术治疗扁桃体疾病时，手术时间为(14.4±4.5) min，明显短于对照组，差异具有统计学意义(P<0.001)；并且观察组术中出血量平均为(7.78±5.67) ml，较对照组亦明显减少，差异有统计学意义(P<0.001)。结论：微波扁桃体凝固手术治疗扁桃体疾病，具有操作简便、手术视野清楚、手术时间短和出血量少等优点，值得临床推广应用。
[关键词] 扁桃体；微波；手术
[中图分类号] R766.18 [文献标识码]A[文章编号]1674-4721(2010)11(b)-036-02
The clinical study of microwave coagulation therapy in treatment of tonsil disease
SUN Hong
(Department of Otolaryngology, the First Hospital of Zibo City, Shandong Province, Zibo 255200, China)
[Abstract] Objective: To observe the microwave coagulation tonsil tonsil disease in the treatment of clinical efficacy. Methods: 98 cases of undergraduate treatment of chronic tonsillitis or tonsillar hypertrophy alone patients were randomly divided into treatment group and control group, 49 patients in each group to observe the surgical group were treated by microwave coagulation tonsillectomy, the control group using the traditional tonsil dissection for treatment, both groups were recorded and compared operative time and blood loss. Results: The surgical treatment of microwave coagulation tonsil tonsil disease, operative time was (14.4±4.5) minute, significantly shorter than the control group, the difference was statistically significant (P<0.001); and the observation group average blood loss was (7.78±5.67) ml, also significantly reduced compared with the control group, the difference was statistically significant(P<0.001). Conclusion: Surgical treatment of microwave coagulation tonsillectomy tonsil disease, is a simple, clear operative field, operative time is shorter and less bleeding, etc., is worthy of clinical application.
[Key words] Tonsil; Microwave; Surgery
扁桃体位于消化道和呼吸道的交会处，此处的黏膜内含有大量淋巴组织，是经常接触抗原引起局部免疫应答的部位[1]。当扁桃体发生病变并反复发作或严重影响呼吸及吞咽功能时，一般采用手术方法进行治疗。传统的手术方法为扁桃体剥离法和扁桃体挤切法，然而这两种手术方法存在一些不足，如手术时间过长或手术出血量大等。另外研究还发现扁桃体参与体液免疫和细胞免疫，能够产生多种B淋巴细胞发挥免疫功能，切除扁桃体会影响局部免疫功能。为了寻求另外一种有效的手术方法治疗扁桃体疾病，笔者应用微波扁桃体凝固手术对一些患者进行了治疗，并取得了满意的效果，现报道如下：
1 资料与方法
1.1 一般资料
选择2008年12月~2010年7月本科治疗的98例患者，其中，男性54例，女性44例，年龄最大57岁，最小11岁，平均25.4岁；慢性扁桃体炎59例，单纯扁桃体肥大39例；Ⅰ度28例，Ⅱ度44例，Ⅲ度26例；手术前2周内有扁桃体急性炎症史、凝血障碍、严重的心功能不全者除外 ......
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