二种手术方法治疗儿童慢性扁桃体炎临床分析

目的：总结儿童慢性扁桃体炎手术治疗方法,针对不同病例选择不同的手术方式,降低并发症及医疗费用。方法：回顾性分析我科于1996年1月至2011年2月间采用无麻醉扁桃体挤切术及全麻扁桃体剥离摘除术治疗5～11岁儿童慢性扁桃体炎500例临床资料。结果：400例无麻醉挤切组术后残体存留20例（占5%）,原发性出血12例（占3%）;100例全麻扁桃体剥离摘除组术后无残体存留,原发性出血2例（占2%）。结论：全麻扁桃体剥离摘除在术后残体存留及原发性出血方面优于无麻醉扁桃体挤切术,但有全麻风险,医疗费用也相应增加。

Clinical Analysis of Two Surgical Treatments for Chronic Tonsillitis in Children

Objective: To optimize the surgical treatments of chronic tonsillitis in children with different operative methods and reduced complications and medical costs.Methods: Five hundreds of chronic tonsillitis children aged 5-11 treated with non-anesthesia guillotine method of tonsillectomy or tonsil resection under general anesthesia in Chuxiong Affiliated Hospital of Dali University from January 1996 to February 2011 were enrolled in the research,clinical data were performed a retrospective analysis.Results:Four hundreds cases underwent non-anesthesia guillotine method of tonsillectomy,residues were observed in 20 patients(5%),and primary hemorrhage in 12 cases(3%);no residue retention found in 100 cases of tonsil resection under general anesthesia,and 2 cases(2%) occurred primary hemorrhage.Conclusion: Tonsil resection under general anesthesia showed advantages on less residue retention and primary hemorrhage compared to the non-anesthesia guillotine method,but the disadvantage on the risk of anesthesia and high medical cost.