[应用超声刀作为鼻内镜下扁桃体切除术的主要器械（附31例报告）]
[Using ultracision-harmonic scalpel as major instrument for tonsillectomy via nasal endoscope (a report of 31 cases)].
作者信息
Li Chuling, Jiang Lingyan, Wu Lujing, Yuan Xianping
机构信息
Department of Otolaryngology-Head and Neck Surgery, Huangjiang Hospital, Dongguan 523750, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Aug;22(15):695-7.
OBJECTIVE
To investigate the feasibility of applying ultracision-harmonic scalpel in tonsillectomy.
METHOD
Thirty-one cases treated with tonsillectomy which applied with nasal endoscope and ultracision-harmonic scalpel (ultrasonic scalpel group) and 31 cases treated with routine operation (routine group) respectively. The operating time and blood loss during operation and the degree of pain and the region of inflammation humidity as well as hospitalization days were observed.
RESULT
All indexes in ultrasonic scalpel group were lower than that in the routine group, including operating time and blood loss during operation, and they were obviously difference in statistics (P < 0.01).
CONCLUSION
The application of ultracision-harmonic scalpel in tonsillectomy was safe, efficient and feasible, and would have a nice application prospect during ear-nose-throat operation.
目的
探讨超声刀在扁桃体切除术中应用的可行性。
方法
分别选取31例行鼻内镜下超声刀扁桃体切除术的患者（超声刀组）和31例行常规扁桃体切除术的患者（常规组）。观察手术时间、术中出血量、疼痛程度、术区炎症反应程度及住院天数。
结果
超声刀组各项指标均低于常规组，包括手术时间和术中出血量，差异有统计学意义（P<0.01）。
结论
超声刀在扁桃体切除术中应用安全、高效、可行，在耳鼻咽喉手术中有良好的应用前景。
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