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目的:探讨超声刀实施扁桃体切除术的可行性。方法:鼻内镜直视下放大,采用超声刀行扁桃体切除术31例,并与同期常规扁桃体剥离术比较,观察术中出血量、手术时间、术后疼痛程度、炎性肿胀范围、住院天数。结果:超声刀组各项观察指标均明显优于常规手术组,术中出血量、手术时间比较,均差异有统计学意义(均P<0.01)。结论:超声刀在扁桃体切除术中的应用是安全、有效、可行的,在耳鼻咽喉手术中具有良好的应用前景。
Objective: To investigate the feasibility of ultrasonic knife in the implementation of tonsillectomy. Methods: Thirty - one patients underwent tonsillectomy with endoscopic ultrasonography and compared with conventional tonsillectomy. The intraoperative blood loss, operative time, degree of postoperative pain, extent of inflammatory and swelling, length of hospital stay . Results: All the indexes of ultrasonic knife group were significantly better than those of conventional surgery group. There was significant difference in bleeding volume and operation time (all P <0.01). Conclusion: The application of ultrasonic knife in tonsillectomy is safe, effective and feasible. It has good application prospect in otolaryngology.