單極電凝不同功率切除扁桃體的臨床應(yīng)用

　　[摘要]目的 比較使用單極電凝三種不同功率在扁桃體切除中的臨床特點(diǎn)。 方法 選擇自2015年1月以來(lái)近3年我科收治的需要切除扁桃體的手術(shù)患者共90例。90例應(yīng)用單極電凝行扁桃體切除術(shù)的患者按單極電凝的三種功率17 W、27 W、37 W隨機(jī)分為三組，每組各30例，比較三組術(shù)中術(shù)后臨床指標(biāo)，根據(jù)臨床指標(biāo)進(jìn)行分析。結(jié)果 27 W組、37 W組患者術(shù)中出血量、手術(shù)時(shí)間與17 W組之間差異分別有顯著性（P<0.05），27 W組、37 W組之間差異無(wú)顯著性（P>0.05）；17 W組、27 W組患者的懸雍垂水腫消退時(shí)間、術(shù)后恢復(fù)正常飲食時(shí)間、疼痛評(píng)分、創(chuàng)面黏膜上皮化時(shí)間與37 W組之間差異分別有顯著性（P<0.05），17 W組、27 W組之間差異無(wú)顯著性（P>0.05）；三組患者原發(fā)性出血率、繼發(fā)性出血率差異均無(wú)顯著性（P>0.05）。 結(jié)論 單極電凝術(shù)切除扁桃體安全可靠，最適宜功率為27 W，值得在國(guó)內(nèi)推廣應(yīng)用。
　　[關(guān)鍵詞] 扁桃體切除術(shù)；單極電凝；功率；熱損傷
　　[中圖分類號(hào)] R766.9 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1673-9701（2018）08-0012-03
　　Clinical application of unipolar electrocoagulation with different powers in tonsillectomy
　　XU Jingsheng1，2 WANG Huihe2 LIU Tingyan3
　　1.Binzhou Medical University，Yantai 264000， China；2.Department of E.N.T. and Head and Neck Surgery， Chengyang District People"s Hospital， Qingdao 266000， China；3.Department of E.N.T. and Head and Neck Surgery， Yantai Affiliated Hospital of Binzhou Medical University， Yantai 264000， China
　　[Abstract] Objective To compare the clinical features of unipolar electrocoagulation with three different powers in tonsillectomy. Methods A total of 90 patients undergoing surgery for tonsillectomy in our department for the recent 3 years from January 2015 were selected as the research subjects. 90 patients receiving unipolar electrocoagulation for tonsillectomy were randomly divided into 17 W group， 27 W group， and 37 W group according to the three powers of 17 W， 27 W， 37 W in unipolar electrocoagulation， with 30 cases in each group. The intraoperative and postoperative clinical indicators were compared. Analysis was carried out based on clinical indicators. Results The intraoperative blood loss， operation time in 27 W group， 37 W group and 17 W group were significantly different （P<0.05）. There was no significant difference between 27 W group and 37 W group（P>0.05）；there were significant differences in subsiding time of uvula edema， duration of postoperative normal diet， pain score， wound mucosal epithelialization time between the 17 W group， the 27 W group and the 37 W group（P<0.05）， and there was no significant difference between 17 W group and 27 W group（P>0.05）；there was no significant difference in the rates of primary hemorrhage and secondary hemorrhage between 17 W， 27 W and 37 W groups（P>0.05）. Conclusion Unipolar electrocoagulation for the resection of tonsils is safe and reliable， and the most suitable power is 27 W， which is worthy of promotion and application in China.
　　[Key words] Tonsillectomy；Unipolar electrocoagulation；Power；Heat damage

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