ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU CẮT AMIĐAN BẰNG LASER CO2 TẠI KHOA TAI MŨI HỌNG

ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU CẮT AMIĐAN BẰNG LASER CO2 TẠI KHOA TAI MŨI HỌNG - BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Hương Lan Lê, Công Hoàng Nguyễn, Thị Ngọc Anh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.493-501

Bộ sưu tập: Báo, Tạp chí

ID: 339876

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu nhằm đánh giá kết quả bước đầu cắt amiđan bằng laser CO2. Đối tượng nghiên cứu gồm 65 bệnh nhân được cắt amiđan bằng laser CO2 tại khoa Tai mũi họng - Bệnh viện Trung ương Thái Nguyên từ tháng 4/2022 đến tháng 12/2022. Nghiên cứu sử dụng phương pháp nghiên cứu mô tả tiến cứu có can thiệp trước - sau. Kết quả cho thấy, tỷ lệ bệnh nhân nữ chiếm 52,3% tương đương nam chiếm 47,7%. Tuổi trung bình là 22,7. Mức độ quá phát của amiđan độ III, IV chiếm đa số. Nhóm tuổi 6-15 có thời gian phẫu thuật ngắn nhất, nhóm tuổi 35-55 đa số có thời gian phẫu thuật trên 30 phút. Lượng máu mất trung bình trong phẫu thuật là 12,5 ml, trong đó đa số là mất máu từ 5-10 ml chiếm 70,8%. Điểm đau trung bình cao nhất ngày đầu sau mổ là 4,2 điểm. Thời gian nằm viện trung bình là 4,12 ngày, thời gian làm việc và học tập trở lại bình thường trung bình là 6,7 ngày. Biến chứng sau mổ hay gặp nhất là tổn thương các mô xung quanh chiếm 18,5%, chảy máu muộn gặp với tỷ lệ thấp là 3,1%. Sau phẫu thuật đánh giá hốc mổ có 96,9% bệnh nhân có tiến triển tốt. Kết luận qua nghiên cứu cho thấy phương pháp cắt amiđan bằng laser CO2 an toàn.The aim of this study is to evaluate the results of tonsillectomy by laser CO2. The study subjects include 65 patients who underwent CO2 laser tonsillectomy at the Department of Otorhinolaryngology - Thai Nguyen National Hospital from April 2022 to December 2022, using a descriptive research method, rescue can be before-after. The results showed that the proportion patients accounted for 52.3%, equivalent to 47.7% male. The mean age is 22.7. The degree of oversaturation of tonsil grade III, IV accounts for the majority. The age group 6-15 had the shortest surgery time, the age group 35-55 had the majority of surgery time over 30 minutes. The average blood loss during surgery was 12.5 ml, in which the average blood loss was from 5-10 ml, accounting for 70.8%. The highest average pain score on the first day after surgery was 4.2 points. The average length of hospital stay was 4.12 days, and the average time to work and back to school was 6.7 days. The most common postoperative complication was damage to surrounding tissues accounting for 18.5%, bleeding was common with a low rate of 3.1%. Evaluation of operative mortality 96.9% was in good progress. Conclusions through the study show that the CO2 laser tonsillectomy method is safe.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR