Yu Fei
Otolaryngology Department, Shandong Xintai People's Hospital Xintai, Shandong Province, China.
Am J Transl Res. 2021 Apr 15;13(4):2447-2455. eCollection 2021.
To investigate the effect of a low temperature plasma knife on the treatment of chronic tonsillitis and its effect on T lymphocyte subsets.
A total of 70 patients diagnosed with tonsillitis from March 2017 to October 2018 were selected as research subjects. Among them, patients treated by routine surgery were placed into the control group (33 cases), and patients treated by low temperature plasma knife were placed in the observation group (37 cases). The clinical efficacy, intraoperative blood loss, operative time, time of complete white membrane coverage, time of complete white membrane shedding, pain scoring, adverse reactions and the influence on T cell subsets between the two groups were compared.
The clinical treatment efficacy of the observation group was significantly higher than that of the control group (P<0.05). The operative time, intraoperative blood loss, time of complete white membrane coverage and time of complete white membrane shedding in the observation group were significantly lower than those in the control group. The pain score of patients in the observation group was significantly lower than in the control group on 1 d, 3 d and 5 d after surgery (P<0.05), while there was no significant difference in pain score between the two groups 7 d after surgery (P>0.05). There was no significant difference between the observation group and the control group in postoperative blood loss, torus tubarius injury and adverse nasal adhesion (P>0.05). The total curative effective rate of the control group was significantly lower than that of the observation group (P<0.05).
To sum up, a low temperature plasma knife has good effects in the treatment of chronic tonsillitis, which can alleviate the pain response of patients without increasing the incidence of adverse reactions, and as such it is worthy of clinical promotion.
探讨低温等离子刀治疗慢性扁桃体炎的效果及其对T淋巴细胞亚群的影响。
选取2017年3月至2018年10月确诊为扁桃体炎的70例患者作为研究对象。其中，采用常规手术治疗的患者纳入对照组（33例），采用低温等离子刀治疗的患者纳入观察组（37例）。比较两组的临床疗效、术中出血量、手术时间、白膜完全覆盖时间、白膜完全脱落时间、疼痛评分、不良反应以及对T细胞亚群的影响。
观察组的临床治疗效果显著高于对照组（P<0.05）。观察组的手术时间、术中出血量、白膜完全覆盖时间和白膜完全脱落时间均显著低于对照组。观察组患者术后1 d、3 d和5 d的疼痛评分显著低于对照组（P<0.05），而术后7 d两组疼痛评分差异无统计学意义（P>0.05）。观察组与对照组在术后出血、咽鼓管圆枕损伤及鼻腔粘连不良反应方面差异无统计学意义（P>0.05）。对照组的总有效率显著低于观察组（P<0.05）。
综上所述，低温等离子刀治疗慢性扁桃体炎效果良好，可减轻患者的疼痛反应，且不增加不良反应发生率，值得临床推广。
