低温等离子扁桃体被膜内切除术临床研究

《低温等离子扁桃体被膜内切除术临床研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、遵义医学院硕士学位论文孙宇鹏中图法分类号：R76学校代码：10661学号：2011369密级：公开硕士学位论文（专业型学位）低温等离子扁桃体被膜内切除术临床研究姓名：孙宇鹏专业：外科学（耳鼻咽喉科学）研究方向：耳鼻喉科学基础与技能导师：安伟（教授）培养单位：遵义医学院2014年5月万方数据万方数据遵义医学院硕士学位论文孙宇鹏目录1.论文中英缩略词对照表„„„„„„„„„„„„„„„„1中文摘要„„„„„„„„„„„„„„„„„„„„2英文摘要„„„„„„„„„„„„„„„„„„„„3前言„„„„„„„„„„„„„„„„„„„„„„5材料与方法„„„„„„„„

2、„„„„„„„„„„„6结果„„„„„„„„„„„„„„„„„„„„„„9讨论„„„„„„„„„„„„„„„„„„„„„„15结论„„„„„„„„„„„„„„„„„„„„„„18参考文献„„„„„„„„„„„„„„„„„„„„192.综述：„„„„„„„„„„„„„„„„„„„„„„203.致谢„„„„„„„„„„„„„„„„„„„„„„294.作者简介„„„„„„„„„„„„„„„„„„„„30万方数据遵义医学院硕士学位论文孙宇鹏中英文缩略词表缩略词英文全称中文全称TEtonsillectomy扁桃体切除术Thetonsils扁桃体Plasma等离子Cap

3、sule被膜1万方数据遵义医学院硕士学位论文孙宇鹏低温等离子扁桃体被膜内切除术临床研究中文摘要目的：探索扁桃体被膜内切除术的手术方法，减轻手术创伤，降低术后并发症的发生，为临床实践提供一种可靠的新型手术方式。方法：选取2012年12月至2013年12月遵义医学院附属医院耳鼻喉科以扁桃体肥大收入院，拟行扁桃体切除术的住院病人，40例，其中，男25例，女15例，随机分为2组：低温等离子扁桃体被膜内切除术组（简称被膜内切除组）20例及低温等离子扁桃体被膜外切除术组（简称被膜外切除组）20例，比较其手术时间、术中出血量、术后疼痛、术后并发症发生率，白膜脱落时间。结果

4、：术中血量被膜内切除组为（6.20±1.36）ml，被膜外切除组为（9.50±2.04）ml；术后疼痛（经疼痛量表评分）：术后6小时：被膜内切除组为（2.50±0.59）,被膜外切除组为（3.80±0.70），术后第一天被膜内切除组为（2.30±0.46）,被膜外切除组为（3.30±0.67），术后第二天被膜内切除组为（1.55±0.50）,被膜外切除组为（2.30±0.57）；术后出血发生率（继发性出血）：被膜内切除组未发生出血，被膜外切除组为10%；所得数据采用SPSS17.0软件包进行统计学分析后有统计学意义（P<0.5）；术后白膜脱落时间：被膜内切除

5、组为（7.15±0.85）天；被膜外切除组为：（7.15±1.09）天；伤口感染发生率：被膜内切除组为10%，被膜外切除组为：25%；手术时间：被膜内切除组为（18.4±2.42）分钟，被膜外切除组为（17.7±2.00）分钟，所得数据采用SPSS17.0软件包进行统计学分析后无统计学意义（P>0.5）。结论：应用低温等离子行扁桃体被膜内切除术是一种崭新的手术方式，具有创伤小、恢复快、疼痛轻且并发症发生率低等优点，通过对低温等离子扁桃体被膜内切除术的研究，为扁桃体切除术的临床工作提供一种更佳的手术方式的选择，值得临床推广。关键词：扁桃体；扁桃体切除术；等离子

6、；被膜；2万方数据遵义医学院硕士学位论文孙宇鹏Theclinicalresearchtotonsillectomywithincapsuleoftonsilbylow-temperatureplasmaAbstractAbstractObjective:Toobserveandexploretheoperationalwaysoftonsillectomyintonsilcapsule,Reducethesurgicaltraumaandtheoccurrenceofpostoperativecomplications,Astheclinicalpracti

7、cetoprovideareliablenewoperationmethod.Methods:Choose40casesofhospitalpatientsfromE.N.T.departmentofzunyimedicalcollegeaffiliatedhospitalbetweenDecember2012andDecember2013，whosewerediagnosedwithtonsillarhypertrophy,Amongthem,25casesofmale,female15cases.40casesofhospitalpatientsrequ

8、iresurgicalremovaloftheton