研究低温等离子消融术在鼻鼻窦及颅底肿物内镜手术中的疗效。
To Study the Efficacy of Coblation in the Endoscopic Surgery of Sinonasal and Skull Base Masses.
作者信息
Bhardwaj Arushi, Ojha Tarun, Soni Nikhil, Balhara Manan, Gour Nishant
机构信息
Dept. Of Otorhinolaryngology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):137-140. doi: 10.1007/s12070-023-04109-1. Epub 2023 Aug 19.
OBJECTIVE
To study the efficacy of coblation in the endoscopic surgery of sinonasal and skull base masses.
STUDY DESIGN
Prospective Interventional Study.
METHOD
100 patients with signs and symptoms of nasal obstruction were enrolled for 14 months. On the basis of diagnosis they underwent endoscopic sinus surgery using coblator and their intra-operative blood loss, operation time, post-operative pain threshold using VAS(Visual analogue scale) were enlisted.
RESULT
80% had Sinonasal polyp followed by Inverted papilloma in 8%, Angiofibroma in 5%, Hemangioma in 3%, Esthesioneuroblastoma in 2% and Rhinosporidiosis in 2%. The Minimum blood loss was 50 ml and Maximum was 600 ml. 30% patients had no pain, 60% had Mild pain and 10% had Moderate pain post procedure. Mean Operation time was 112.86 min.
CONCLUSION
Coblation has proven to have reduced operation time, blood loss and faster wound healing. It has now established itself as an essential tool for advance tumours in nasal surgeries.
目的
研究低温等离子消融术在内镜鼻窦和颅底肿物手术中的疗效。
研究设计
前瞻性干预研究。
方法
纳入100例有鼻塞症状的患者，研究为期14个月。在诊断的基础上，他们接受了使用低温等离子刀的内镜鼻窦手术，并记录术中失血量、手术时间、术后使用视觉模拟评分法（VAS）的疼痛阈值。
结果
80%为鼻息肉，8%为内翻性乳头状瘤，5%为血管纤维瘤，3%为血管瘤，2%为嗅神经母细胞瘤，2%为鼻孢子虫病。最小失血量为50毫升，最大失血量为600毫升。30%的患者术后无疼痛，60%有轻度疼痛，10%有中度疼痛。平均手术时间为112.86分钟。
结论
低温等离子消融术已被证明可缩短手术时间、减少失血量并加快伤口愈合。它现已成为鼻腔手术中治疗晚期肿瘤的重要工具。
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