成人与儿童单极电凝扁桃体切除术的比较研究

敖敏; 邓洁; 高磊; 何刚

doi:10.13201/j.issn.1001-1781.2015.03.012

成人与儿童单极电凝扁桃体切除术的比较研究

- 1 四川省医学科学院四川省人民医院耳鼻咽喉科(成都, 610072);
- 2 雅安市天全县人民医院五官科

详细信息

通讯作者: 敖敏,E-mail:aominaominokok@163.com

中图分类号: R766.9

收稿日期: 2014-08-26

A comparison between adults and children tonsillectomy with monopolar electrocautery

- 1 Department of Otolaryngology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, 610072, China;
- 2 Department of Otolaryngology, Tianquan Count People's Hospital, Yaan

More Information

Corresponding author: AO Min, E-mail: aominaominokok@163.com

Received Date: 26 August 2014

摘要

摘要: 目的:探讨成人与儿童单极电凝扁桃体切除术的临床特点。方法:选取行单极电凝扁桃体切除术的成人(成人组)及儿童(儿童组)患者各40例,手术均由同一术者完成。记录并比较2组术中术后的临床参数。结果:成人组和儿童组手术时间分别为(32.625±8.320)min和(21.250±3.881)min,术中出血分别为(18.725±9.538)ml和(4.825±1.866)ml,恢复正常饮食时间分别为(13.950±0.714)d和(10.000±0.679)d,2组比较差异均有统计学意义(P<0.05)。2组患者术后1周内疼痛分值比较,差异有统计学意义(P<0.05),第14天时疼痛分值比较,差异无统计学意义(P>0.05)。2组均无明显术后出血,创面黏膜化于2周时比较差异无统计学意义,术后体温比较差异无统计学意义。结论:成人及儿童单极电凝扁桃体切除术安全、操作简便,值得临床应用。
- 单极电凝 /
- 扁桃体切除术 /
- 成人 /
- 儿童
Abstract: Objective: Tonsillectomy is one of the most frequently applied operations in the ENT practice. This prospective study compared intraoperative records and postoperative clinical outcomes between adults and children patients following monopolar electrocautery tonsillectomy.Method: Forty adult patients and Forty children patients with histories of recurrent tonsillitis or hypertrophic tonsillitis were enrolled. Intraoperative parameters and postoperative outcomes were compared.Result: Children tonsillectomy with monopolar electrocautery was significantly faster to perform (P<0.05), and produced significantly less intra-operative blood loss (P<0.05), and faster to return to commencement of a regular diet (P<0.05) than adults. Children tonsillectomy endured less postoperative pain within a week (P>0.05) than adults, but there was no significant difference in pain on the 14th postoperative day in two groups. There was no obvious postoperative hemorrhage in two groups. There was no significant difference in postoperative tonsillar fossa healing and postoperative temperature between the groups.Conclusion: Children and adults tonsillectomy with monopolar electrocautery had clinical characteristics respectively. Monopolar electrocautery tonsillectomy was safe and operated easily in both two groups.
- monopolar electrocautery /
- tonsillectomy /
- adults /
- children

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参考文献(14)

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