【摘要】 目的:对茎突综合征的临床病理解剖特点进行分析,并探讨保留扁桃体口内径路茎突截短术与传统口内径路茎突截短术两者治疗效果的差别。方法:将42例患者随机分为两组,治疗组20例,采用保留扁桃体口内径路茎突截短术,对照组22例,采用传统的口内径路茎突截短术,两组采用相同的局部浸润麻醉方法,且手术者及第一助手相对固定。结果:经统计学处理,治疗组术中出血量较对照组少,手术时间较短,术后并发症较少,住院时间较短。结论:本术式较传统方法更易截断茎突,并有效保留了扁桃体的免疫功能,避免了扁桃体切除术后的各种并发症,提高了手术安全性。术中出血少,术时短,愈合快,大大减轻了患者痛苦。更多还原

【Abstract】 Objective: To understand clinical pathological and anatomical characteristics of elongated styloid process and compare amputation of elongated styloid process trans-intra-oral operation and the old traditional treatment for styloid process.Methods: 42 patients enrolled in this study were divided into the group I(n=20),in which the tonsils were reserved(new approach) as the amputation was done under local anesthesia and group II(n=22),in which patients undergone amputation of styloid process under local anesthesia with removal of tonsils via intra-oral(traditional method).Results: The statistical results showed that the very minimal hemorrhage existed in group I compared with the group II;the operative time was relatively shorter in group I than that in group II.The post-operative complications and in-patient care time were less in group I compared with group II.Conclusions:Amputation of elongated styloid process trans-intra-oral operation(new technique) seems to be very easy and reliable safety and benefits the patients’ immune function.更多还原