摘要
目的探讨扁桃体剥离切除术缝合咽腭弓上中部黏膜的临床疗效。方法纳入2018年1月—2019年10月收治的100例扁桃体手术患者,以随机数字表法分为2组。观察组采用扁桃体剥离切除术缝合腭咽弓上中部黏膜缩小创面,对照组采用传统扁桃体切除术后伤口暴露,2组术后处理相同。观察记录患者手术结果。结果观察组术后1~6 d疼痛低于对照组,创面轻度的比例高于对照组,无出血的比例高于对照组(P<0.05)。随访6个月,2组均无明显不良反应。结论扁桃体剥离切除术缝合咽腭弓上中部黏膜创面操作简便,可明显改善患者术后疼痛,促进创面愈合,减少创面术后出血概率。
Objective To explore the clinical effect of tonsillectomy to suture the upper and middle mucosa of the velopharyngeal arch,and compare the clinical effect of suturing the upper and middle mucosa of the velopharyngeal arch during tonsillectomy to reduce the wound surface and the clinical effect of traditional surgery.Methods In this study,a digital table randomized controlled experiment was used to enroll 100 patients undergoing tonsillectomy from January 2018 to October 2019.The observation group used tonsillectomy to suture the upper and middle mucosa of the velopharyngeal arch to reduce the wound surface.The control group used surgery The wound is exposed after traditional tonsillectomy.The postoperative treatment of the two groups was the same,and the operation results of the patients were observed and recorded.Results All patients were followed up.Follow-up for 6 months to observe the adverse reactions,there was no adverse reaction,but the pain in the observation group was lower than that in the control group,the proportion of mild wounds was higher than the control group,and the proportion of no bleeding was higher than the control group,P<0.05.Conclusion The application of tonsillectomy to suture the upper and middle mucosal wound of the pharyngeal palatine arch is easy to operate,which can significantly improve the postoperative pain of the patient,promote wound healing,and reduce the probability of bleeding after the wound.
作者
张巍
黄勇刚
胡玉龙
罗炜
单鑫
Zhang Wei;Huang Yonggang;Hu Yulong(The People's Hospital of Gaoan City,Gaoan,Jiangxi 330800)
出处
《基层医学论坛》
2021年第4期455-457,共3页
The Medical Forum
基金
宜春市卫生科技计划课题(JXYC2020KSA089)。
关键词
扁桃体剥离切除术
缝合咽腭弓上中部黏膜
疼痛程度
创面愈合
Tonsillectomy suture
Upper and middle mucosa of pharyngeal palatine arch
Pain degree
Waund healing
