【摘要】 目的:比较微型电动切削器与半导体激光在下鼻甲部分切除术的优缺点。方法:比较45例用微型电动切削器行下鼻甲部分切除术(切削器组)与37例用半导体激光行下鼻甲部分切除术(激光组)的术中出血量,手术时间,早、中期疗效,术后痂皮情况,术后并发症等情况。结果:两种手术方法术中出血量均极少,术后不必填塞鼻腔,切削器组无并发症,激光组并发症也只有2.7%,差异无统计学意义。切削器组手术时间短,术后基本无痂皮,近期疗效好(术后2周总有效率为71.1%),中期疗效欠理想(术后半年总有效率为77.8%);激光组手术时间稍长,术后痂皮多,近期效果不好(术后2周总有效率只有18.9%,两组比较χ2=27.01,P<0.01),中远期疗效较好(术后半年总有效率为94.6%,两组比较χ2=6.42,P<0.05)。结论:两种手术方法术中出血量、术后并发症均极少。切削器组术后早期效果较好,中远期疗效欠理想;而激光组术后早期效果差,中远期疗效满意。更多还原

【Abstract】 Objective: To explore the advantage and disadvantage of micro-stryker instruments and semiconductor laser in partial turbinectomy.Methods: Forty-five patients with chronic hypertrophy rhinitis were treated with micro-stryker instruments(group A),and 37 patients were with semiconductor laser(group B).Operation bleeding and time,short-term and intermediate effect,postoperative scab and complication were analyzed.Result: Both the two groups had less hemorrhage and did not need nasal packing.The operative time and the scab were less in group A than in group B,and the short term effect in 2 weeks was better in group A than in group B(71.1% vs 18.9%),whereas the intermediate effective rate in group A was not better than that in group B(77.8% vs 94.6%,χ~2=(6.42,) P<(0.05).) Conclusion: Both the two methods cause little operation bleeding and few postoperative complications,and group A has better short-term effect,group B has better intermediate effect.更多还原