4～8℃冰水应用于儿童扁桃体低温等离子切除术对术后假膜脱落时间的影响

黄辉; 周明朗; 李大鹏; 柴伟; 潘瑞; 牛海珍; 何苗; 冀庆军; 蒋劲松; 丁伟

doi:10.13201/j.issn.1001-1781.2016.15.011

4～8℃冰水应用于儿童扁桃体低温等离子切除术对术后假膜脱落时间的影响

- 1 亳州市人民医院耳鼻咽喉头颈外科(安徽亳州, 236800);
- 2 亳州市人民医院手术室

详细信息

通讯作者: 李大鹏,E-mail:ldpeagle@163.com

中图分类号: R766.9

收稿日期: 2016-04-18

The influence on the peeling off time of the tunica albuginea after 4-8℃ cool water was applied to children's low temperature plasma-assisted tonsillectomy

- 1 Department of Otolaryngology Head and Neck Surgery, People's Hospital of Bozhou, Bozhou, 236800, China;
- 2 Operation Room, People's Hospital of Bozhou

More Information

Corresponding author: LI Dapeng, E-mail: ldpeagle@163.com

Received Date: 18 April 2016

摘要

摘要: 目的: 探讨4~8℃冰水应用于儿童扁桃体低温等离子切除术对术后假膜脱落时间的影响。方法: 以117例良性扁桃体肥大并且符合手术指征的患儿为研究对象,其中56例患儿纳入实验组,以4~8℃冰(0.9% NaCl)生理盐水作为递质行等离子辅助下的扁桃体切割手术;另 61例患儿纳入对照组,以手术室常温22~25℃(0.9%NaCl)生理盐水作为递质行等离子辅助下扁桃体切割手术,比较2组患儿术后假膜完全脱落的时间。结果: 实验组与对照组假膜形成时间差异无统计学意义(P>0.05);实验组假膜脱落时间为(11.32±2.51)d,对照组为(15.03±4.12)d,差异有统计学意义(P<0.05)。结论: 4~8℃冰水应用于儿童扁桃体低温等离子切除术可缩短术后假膜脱落的时间,可能提示冰水递质应用于等离子手术可降低其所造成的热损伤。
- 冰水 /
- 低温等离子 /
- 假膜
Abstract: Objective: The aim of this study is to discuss the influence on the peeling off time of the tunica albuginea after 4-8℃cool water was applied to children's low temperature plasma-assisted tonsillectomy..Method: One hundred and seventeen benign hypertrophy of tonsil patients were recruited, the 56 cases of them were served as experimental group, who were treated with plasma tonsillectomy using 4-8℃ normal saline as medium,while the 61 cases were served as control group,who were treated with plasma tonsillectomy using 22-25℃ normal saline as medium. Then, we analyzed the peeling off time of the tunica albuginea between experimental and control group..Result: The difference of formation time between experimental group and control group was not statistically significant(P>0.05). The average peeling off time of the tunica albuginea was(11.32±2.51) days in experimental group, while time was(15.03±4.12) days in control group. There was a statistical difference between them.Conclusion: The use of 4-8℃ cold water in children's low temperature plasma-assisted tonsillectomy can reduce the peeling off time of the tunica albuginea, and it indicate that the ice water medium can reduce the heat injury caused by the plasma operation.
- cold water /
- low-temperature plasma /
- tunica albuginea

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参考文献(11)

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