目的:探讨低能量CO2激光切除扁桃体切除术中手术技巧与并发症的关系,以改进手术技巧,减少手术并发症。方法:对我科51例低能量CO2激光扁桃体切除术的患者进行回顾性研究分析。观察、记录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、术后再出血、术后术区瘢痕共6项指标。结果:低能量CO2激光扁桃体切除术主要的并发症是术后较轻的伤口疼痛、术中少量出血,无术后再出血及术后术区瘢痕。结论:低能量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,提高手术技巧可进一步减少低能量CO2激光扁桃体切除术并发症,更好体现低能量CO2激光扁桃体切除术是扁桃体切除术中一种安全、有效、微创的术式。
Citation：
ZHANG Zhongju,JIANG Zhenghua,WANG Jie,et al. the Complications and Surgical Skills of LowEnergy CO2 Laser Tonsillectomy. West China Medical Journal, 2009, 24(7): 1635-1637. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 2. TEMPLE R H, TIMMS M S. Paediatric coblation tonsillectomy[J].Int J Pediatr Otorhinolaryngol,2001,61:195-198.
- 3. HULTCRANTZ E, LINDER A, MARKSTROM A. Tonsillectomy or tonsillotomy？A randomized study comparing postoperative pain and longtime effect[J]. Int J Pediatr O torhinolaryngol,1999,51:171-176.
- 4. DENSERT O, DESAI H, ELIASSON A, et al.Tonsillectomy in children with tonsillar hypertrophy[J].Acta Otolaryngol,2001,121:854-858.
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