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超声扁桃体切除术:原理与技术

Ultrasonic tonsillectomy: rationale and technique.

作者信息

Weingarten C

机构信息

Department of Otolaryngology and Head and Neck Surgery, Evanston Hospital, IL, USA.

出版信息

Otolaryngol Head Neck Surg. 1997 Feb;116(2):193-6. doi: 10.1016/S0194-59989770324-3.

DOI:10.1016/S0194-59989770324-3
PMID:9051063
Abstract

Dissection using ultrasonic aspiration is characterized by its unique tendency to spare fibrous and vascular structures during removal of parenchymal lesions. This preliminary study was undertaken to evaluate the feasibility and efficiency of tonsillectomy using the ultrasonic aspirator. Tonsillectomy was performed on 23 patients using the ultrasonic aspirator. Pericapsular removal of the tonsil was easily accomplished with complete preservation of the tonsillar pillars and minimal peritonsillar trauma. The ability to identify significant vasculature before transection, and the constant aspiration integrated into the ultrasonic aspirator allowed excellent visualization of the operative field at all times. No postoperative complications were noted and recovery was typical for tonsillectomy patients. The ultrasonic aspirator may increase the efficiency and margin of safety of tonsillectomy.

摘要

使用超声吸引器进行解剖的特点是在切除实质病变时具有独特的保留纤维和血管结构的倾向。本初步研究旨在评估使用超声吸引器进行扁桃体切除术的可行性和效率。对23例患者使用超声吸引器进行扁桃体切除术。在完全保留扁桃体柱且扁桃体周围创伤最小的情况下,很容易完成扁桃体的包膜外切除。在横断之前识别重要血管的能力以及超声吸引器内置的持续吸引功能,使得术野在任何时候都能得到良好的可视化。未观察到术后并发症,恢复情况对于扁桃体切除患者来说是典型的。超声吸引器可能会提高扁桃体切除术的效率和安全性。

相似文献

1
Ultrasonic tonsillectomy: rationale and technique.超声扁桃体切除术:原理与技术
Otolaryngol Head Neck Surg. 1997 Feb;116(2):193-6. doi: 10.1016/S0194-59989770324-3.
2
A prospective randomized single-blind trial comparing ultrasonic scalpel tonsillectomy with tonsillectomy by blunt dissection in a pediatric age group.一项前瞻性随机单盲试验,比较超声刀扁桃体切除术与钝性剥离扁桃体切除术在儿童年龄组中的效果。
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Guillotine tonsillectomy: a neglected technique.断头台式扁桃体切除术:一项被忽视的技术。
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[Tonsillectomy with the ultrasound activated scalpel. Initial results of technique with Ultracision Harmonic Scalpel].[超声刀扁桃体切除术。使用超声刀技术的初步结果]
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Comparing the effectiveness of "plasma knife" tonsillectomy with two well-established tonsillectomy techniques: cold dissection and bipolar electrocautery. A prospective randomized study.比较“等离子刀”扁桃体切除术与两种成熟的扁桃体切除术技术(冷剥离术和双极电烙术)的有效性。一项前瞻性随机研究。
Int J Pediatr Otorhinolaryngol. 2009 Sep;73(9):1195-8. doi: 10.1016/j.ijporl.2009.05.003. Epub 2009 Jun 4.
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Randomized comparison of ultrasonic aspiration versus conventional electrocautery for dissection of the human internal thoracic artery.
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Application of Coblation Tonsillectomy with Inferior Pole Capsule Preservation in Pediatric Patients.低温等离子扁桃体切除术联合下极被膜保留技术在小儿患者中的应用。
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Are sutured faucial pillars really an advantage in tonsillectomy?缝合的腭弓在扁桃体切除术中真的具有优势吗?
S Afr J Surg. 1996 Nov;34(4):189-91.

引用本文的文献

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A Comparative Analysis of Outcomes of Conventional Cold Dissection Versus Laser Tonsillectomy in Pediatric Cases in a Tertiary Care Hospital in Haryana.哈里亚纳邦一家三级护理医院儿科常规冷刀扁桃体切除术与激光扁桃体切除术结果的比较分析
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5311-5318. doi: 10.1007/s12070-020-02301-1. Epub 2021 Jan 7.
2
High incidence of post-tonsillectomy secondary haemorrhage following coblation tonsillectomy.低温等离子体扁桃体切除术后扁桃体切除术后继发性出血的高发生率。
Indian J Otolaryngol Head Neck Surg. 2013 Jan;65(1):24-8. doi: 10.1007/s12070-012-0584-8. Epub 2012 Oct 27.
3
A Prospective, Randomized, Double-Blind Study of Coblation versus Dissection Tonsillectomy in Adult Patients.
一项针对成年患者的前瞻性、随机、双盲研究:对比低温等离子刀扁桃体切除术与剥离法扁桃体切除术
Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):290-4. doi: 10.1007/s12070-011-0355-y. Epub 2011 Nov 30.
4
Harmonic scalpel versus bipolar tonsillectomy: a double-blind clinical trial.超声刀与双极电切扁桃体切除术的对比:一项双盲临床试验。
Eur Arch Otorhinolaryngol. 2012 May;269(5):1533-6. doi: 10.1007/s00405-011-1872-8. Epub 2011 Dec 13.
5
[Tonsillectomy by CO@ laser microsurgery--an analysis of clinical and morphological data].[二氧化碳激光显微手术扁桃体切除术——临床与形态学数据分析]
HNO. 2003 Aug;51(8):634-9. doi: 10.1007/s00106-002-0789-3. Epub 2003 Apr 4.