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目的探讨局麻下应用美创等离子行扁桃体消融术的手术方法和效果,为手术治疗慢性扁桃体炎寻找一种新的手术治疗途径。方法对60例经临床确诊为慢性扁桃体炎患者随机分为两组,每组30例。等离子组在局麻下应用美创等离子行扁桃体消融术,对照组按常规局麻下行扁桃体摘除术。对术中出血量,手术时间,术后组织水肿反应,切除后创面愈合情况,伤口疼痛,住院天数等方面进行比较,P<0.01。结果等离子组比较对照组术中基本无出血,手术时间约为0.5小时,术后组织无明显水肿且白膜生长良好,伤口无明显疼痛,创面愈合良好,可在门诊治疗,完全符合微创手术要求。结论局麻鼻内镜下应用美创等离子射频消融术治疗慢性扁桃体炎具有切除部位准确,手术时间短,微创安全,术中基本无出血(或10-20ml),无疼痛,术后恢复快,费用少,无不良反应,使复杂手术简单化,值得临床推广使用。
Objective To investigate the surgical method and effect of using the plasma-induced tonsil plasma ablation under local anesthesia to find a new surgical treatment for the treatment of chronic tonsillitis. Methods Sixty patients with clinically diagnosed chronic tonsillitis were randomly divided into two groups (n = 30 in each group). In the plasma group, the patients underwent local plasma tonsillectomy under local anesthesia and the control group underwent tonsillectomy under local anesthesia. The amount of blood loss, operation time, postoperative tissue edema response, wound healing after excision, wound pain, hospitalization days were compared, P <0.01. Results Compared with the control group, plasma group had almost no bleeding during the operation, the operation time was about 0.5 hour, no obvious edema occurred in the tissue and the albuginea grew well, the wound had no obvious pain, the wound healed well, which could be treated in the outpatient department completely in line with minimally invasive surgery Claim. Conclusion Endoscopic treatment of chronic tonsillitis by local anesthesia with local anesthesia and radiofrequency ablation has the advantages of accurate resection site, short operative time, minimally invasive safety, minimal bleeding during operation (or 10-20 ml), no pain and rapid postoperative recovery , Less cost, no adverse reactions, simplification of complex surgery, it is worth to promote clinical use.