二氧化碳雷射扁桃體切除術與電燒扁桃體切除之比較

Comparison between CO2 Laser Tonsillectomy and Electrocautery Tonsillectomy

李學禹(Hsueh-Yu Li) ； 黃俊生(Tsun-Sheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 31卷5期 (1996/10) Pp. 380-385

https://doi.org/10.6286/1996.31.5.380

摘要

以二氧化碳雷射來執行扁桃體切除術，是近年來廣受重視的方法，其目的乃是利用二氧化碳雷射的特性來達到減少術中出血、隆低術後疼痛與加速傷口癒合的效果。然而甚少有文獻中以對照組來證實這些優點，因此本文收集26例慢性扁桃體炎病例，左側扁桃體以二氧化碳雷射作汽化手術，右側則以電燒加以剖析摘除，用手術時間、術中出血、術後疼痛與傷口癒合等4項因素對左右2側加以比較。結果顯示二氧化碳雷射側手術所花的時間與術中的出血都較少，術後的疼痛也明顯較輕，而傷口癒合亦較電燒側為快。臨床上面對慢性扁桃體炎病患，二氧化碳雷射手術提供了另一種新的選擇。

關鍵字

二氧化碳雷射 ； 雷燒 ； 扁桃體切除術

並列摘要

The use of CO2 laser has become more popular for the surgery of oropharyngeal lesion, because it can decrease intraoperative bleeding, postoperative pain and accelerate wound healing. But few controlled studies have been done to validate the advantages of this application. Twenty-six patients with chronic tonsillitis had been collected in Chang Gung Memorial Hospital from April 1995 to October 1995. Right tonsils were removed with electrocautery dissection and left tonsils were excised with CO2 laser vaporization. All patients didn’t know which tonsil was removed with the laser.
We assessed operative time, intraoperative bleeding, postoperative pain and wound healing between two sides. The result showed that the operative time was shorter and intraoperative bleeding was less on the side of CO2 laser. Moreover, postoperative pain was rated less worse and wound healing was observed faster with the use of CO2 laser.

並列關鍵字

CO2 laser ； electrocautery ； tonsillectomy