微型高频针状电极在软腭粘膜良性病变切除中的应用
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作者简介:

朱榴宁(1988.4-),江苏如皋人,硕士,主治医师,主要从事口腔颌面肿瘤相关研究

通讯作者:

张继生(1969.11-),江苏泰州人,硕士,主任医师,主要从事口腔颌面部肿瘤的综合治疗和缺损修复工作

中图分类号:

R781.5


Application of Microdissection Needle in Resection of Benign Lesions of Soft Palate Mucosa
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    摘要:

    目的 探讨微型高频针状电极在软腭粘膜良性病变切除中的应用价值。方法 选取2017年 1月-2020年1月我院收治的软腭粘膜良性病变患者28例作为研究对象,随机分为试验组16例及对照组12例。 试验组使用微型高频针状电极进行手术,对照组使用常规电极进行手术。比较两组软腭肿物的手术切除时 间、并发症发生情况以及疼痛评分。结果 试验组手术时间短于对照组,差异有统计学意义(P <0.05); 两组术后出血以及复发率比较,差异无统计学意义(P >0.05);试验组术后第1、3、7天疼痛评分均低于 对照组,差异有统计学意义(P <0.05)。结论 微型高频针状电极在软腭粘膜良性病变切除中的应用效果 较好,能够缩短手术时间,减少术后并发症,减轻患者疼痛感,值得临床应用。

    Abstract:

    Objective To explore the application value of microdissection needle in the resection of benign lesions of soft palate mucosa. Methods A total of 28 patients with benign lesions of soft palate mucosa admitted to our hospital from January 2017 to January 2020 were randomly divided into experimental group (16 cases) and control group (12 cases). The experimental group used microdissection needle for surgery, and the control group used conventional electrodes for surgery. The operation time, complications and pain scores of soft palate masses were compared between the two groups. Results The operation time of the experimental group was shorter than that of the control group, and the difference was statistically significant (P <0.05). There was no significant difference in postoperative bleeding and recurrence rate between the two groups (P >0.05). The pain scores of the experimental group on the 1st, 3rd and 7th day after operation were lower than those of the control group, and the differences were statistically significant (P <0.05). Conclusion The application of microdissection needle in the resection of benign lesions of soft palate mucosa is effective, which can shorten the operation time, reduce postoperative complications, relieve the pain of patients, and is worthy of clinical application.

    参考文献
    [1] Abu Rass NAA,Surougi ER,Baheydarah SM,et al.Neoplasms of the Palate:A Review[J].The Egyptian Journal of Hospital Medicine,2018,70(8):1393-1400.
    [2] Ko? O,Tüz HH,Tosun E.A novel use of buccal fat pad flap for immediate reconstruction of palatal tumor resection defect[J].Journal of Craniofacial Surgery,2019,30(7):e593-e595.
    [3] Chebib E,Lechien JR,Chekkoury Y,et al.Transoral robotic surgery for cancer of the soft palate posterior surface[J]. Ear,Nose&Throat Journal,2022,101(10):660-662.
    [4] 闫旭,胡茂忠,万东东.伴腓骨下小骨的踝关节前外侧慢性 疼痛的踝关节镜治疗[J].中华医学杂志,2021,101(39):3253- 3256.
    [5] 鲁勇,石冰,郑谦.软腭肌解剖与重建对软腭组织结构影响 的实验研究[J].实用口腔医学杂志,2010,26(2):185-189.
    [6] 陈黎明.咽后组织瓣修复软腭肿瘤术后缺损12例[J].中国 耳鼻咽喉颅底外科杂志,2011(3):220-221.
    [7] Schernberg A,Canova C,Blanchard P,et al.Prognostic factors in patients with soft palate squamous cell carcinoma[J].Head&Neck,2019,41(5):1441-1449.
    [8] Massarelli O,Vaira LA,Gobbi R,et al.Soft palate functional reconstruction with buccinator myomucosal island flaps[J].International journal of oral and maxillofacial surgery,2018,47(3):316-323.
    [9] Britt CJ,Hwang MS,Day AT,et al.A review of and algorithmic approach to soft palate reconstruction[J].JAMA facial plastic surgery,2019(8):1-8.
    [10] 黄志强.外科微创化:21世纪外科的主旋律[J].中国基层 医药,2002,9(4):292-293.
    [11] 崔昕燕,陈峰,钱晓云,等.微型高频针状电极在鼻内镜下 泪前隐窝入路手术中的应用[J].临床耳鼻咽喉头颈外科 杂志,2017(31):1844-1847.
    [12] Fen SHI,Chen C,Wei L,et al.Application of microdissection tungsten needle in transverse preputial island flap urethroplasty for one-stage hypospadias repair[J].Lingnan Modern Clinics In Surgery,2021,21(4):462.
    [13] Carqueville JC,Chesnut C.Histologic comparison of upper blepharoplasty skin excision using scalpel incision versus microdissection electrocautery needle tip versus continuous wave CO2 laser[J].Dermatologic Surgery,2021,47(10):1376-1378.
    [14] Kumar PS,Rodrigues E,Dhupar V,et al.A Randomized Control Trial to Assess Intraoperative and Postoperative Outcomes of Colorado Microdissection Needle Versus Conventional Surgical Knife in Neck Dissection[J].Journal of Maxillofacial and Oral Surgery,2020,19(4):506-510.
    [15] Rokhsar CK,Ciocon DH,Detweiler S,et al.The short pulse carbon dioxide laser versus the colorado needle tip with electrocautery for upper and lower eyelid blepharoplasty[J]. Lasers Surg Med,2008,40(2):159-164.
    [16] Riggs K,Keller M,Humphreys TR.Ablative laser r e s u r f a c i n g : h i g h - e n e rg y p u l s e d c a r b o n d i o x i d e a n d e r b i u m : y t t r i u m - a l u m i n u m - g a r n e t [ J ] . C l i n Dermatol,2007,25(5):462-473.
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朱榴宁,庄 海,卜寿山,等.微型高频针状电极在软腭粘膜良性病变切除中的应用[J].医学美学美容,2023,32(5):137-140.

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  • 在线发布日期: 2023-07-22