低温等离子刀在鼻内镜下鼻腔鼻窦腺样囊性癌手术中的应用
TThe Application of Low Temperature Plasma under Nasal Endoscope on Adenoid Cystic Carcinoma in the Paranasal Sinuses and Nasal Cavity
摘要: 目的：分析鼻内镜下低温等离子技术在鼻腔鼻窦腺样囊性癌手术中的应用。方法：选择2011年1月至2020年1月诊治并完成术后1年随访的28例鼻腔鼻窦腺样囊性癌患者的临床资料进行回顾性分析。其中14例患者在鼻内镜下应用低温等离子刀实施手术，为观察组；14例患者未使用低温等离子刀，为对照组。分别记录并比较两组患者手术时间、术中出血量、住院天数、术后并发症以及术后随访复发情况。结果：观察组手术时间、住院天数短于对照组(P < 0.05)；观察组术中出血量少于对照组(P < 0.05)；观察组与对照组术后并发症发生率比较差异无统计学意义(P > 0.05)；两组术后复发率比较差异无统计学意义(P > 0.05)。结论鼻内镜下应用低温等离子射频消融技术进行鼻腔鼻窦腺样囊性癌手术具有手术用时短、出血量少、损伤小、住院时间短等优点。
Abstract: Objective: To analyze the application of low temperature plasma technology under nasal endoscopy in the operation of adenoid cystic carcinoma of the nasal cavity and sinus. Methods: Retrospective analysis in January 2011 to January 2020 and complete the postoperative follow-up of 1 year of diagnosis and treatment of 28 cases of nasal sinus adenoid cystic carcinoma in patients with clinical information. Among them, 14 patients were treated with low-temperature plasma under nasal endoscope as the observation group, and 14 patients not treated with low-temperature plasma were the control group. Operative time, intraoperative blood loss, length of stay, postoperative complications, and postoperative follow-up recurrence were recorded and compared in two groups. Results: The operation time and hospitalization days in the observation group were shorter than those in the control group (P < 0.05); intraoperative blood loss in the observation group was less than that in the control group (P < 0.05); there was no statistically significant difference in postoperative complications between the observation group and the control group (P > 0.05); there was no significant difference in postoperative recurrence rate between the two groups (P > 0.05). Conclusions: Application of low temperature plasma radiofrequency ablation under endoscope surgery treatment of nasal sinuses with adenoid cystic carcinoma has many advantages, such as shorter operation time, less bleeding, less injury and shorter hospitalization time.
文章引用：卢珊, 陈家宏, 陈亭. 低温等离子刀在鼻内镜下鼻腔鼻窦腺样囊性癌手术中的应用[J]. 临床医学进展, 2021, 11(2): 476-481. https://doi.org/10.12677/ACM.2021.112068

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