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目的:探讨CO2激光切除扁桃体的临床疗效。方法:随机将102例患者分为CO2激光组和对照组。CO2激光组用CO2激光系统切除扁桃体;对照组则采用常规剥离法切除扁桃体,手术均由同一术者完成。观察并记录两侧扁桃体切除所需手术时间、术中出血量、术后疼痛时间及程度、术后创面反应程度、创面修复时间(假膜出现及脱落时间)、术后再出血、术后术区瘢痕共7项指标。结果:CO2激光组手术时间较对照组短;CO2激光组术中平均出血量(7.2±2.1)ml,而对照组为(92.0±35.0)ml;CO2激光组术后疼痛及创面反应程度均轻于对照组;CO2激光组较对照组假膜出现时间早、脱落晚;两组均无术后再出血患者;术后12周动态观察CO2激光组与对照组术区瘢痕情况,仅对照组有2例(3.92%)出现明显术区瘢痕。结论:CO2激光扁桃体切除术出血量少,术后疼痛小,反应轻,手术方法易掌握,是扁桃体切除术中一种安全、有效、微创的术式。
Objective: To investigate the clinical efficacy of CO2 laser in the removal of tonsils. Methods: 102 patients were randomly divided into CO2 laser group and control group. CO2 laser group with CO2 laser removal of tonsil; control group was removed by conventional stripping tonsils, surgery by the same operator to complete. The duration of operation, blood loss, time and degree of postoperative pain, postoperative wound response, wound healing time District scars a total of seven indicators. Results: The operation time of the CO2 laser group was shorter than that of the control group. The average intraoperative blood loss of the CO2 laser group was (7.2 ± 2.1) ml, while that of the control group was (92.0 ± 35.0) ml. The postoperative pain and wound response of the CO2 laser group were all mild In the control group, the CO2 laser group appeared earlier than the control group, and came off late. There was no postoperative bleeding in both groups. The scar of the CO2 laser group and the control group were observed 12 weeks after operation. Two cases (3.92%) showed obvious surgical scar. CONCLUSION: CO2 laser tonsillectomy has less bleeding, less postoperative pain, less reaction and easier operation. It is a safe, effective and minimally invasive procedure in tonsillectomy.