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外科研究与新技术 ›› 2021, Vol. 10 ›› Issue (1): 42-44.doi: 10.3969/j.issn.2095-378X.2021.01.012

• 论著 • 上一篇    下一篇

低温等离子射频术与高频电刀在早期舌癌治疗中的临床比较

严国鑫, 任航   

  1. 无锡市第二人民医院口腔科,江苏 无锡 214002
  • 收稿日期:2020-07-30 发布日期:2021-05-18
  • 通讯作者: 任 航,电子信箱:rship1988@sina.com
  • 作者简介:严国鑫(1973—),男,硕士研究生,副主任医师,从事口腔颌面外科工作

Clinical comparison of low-temperature plasma radiofrequency operation and high-frequency electrosurgical resection in treatment of early tongue cancer

YAN Guoxin, REN Hang   

  1. Department of Stomatology, Wuxi Second People's Hospital, Wuxi 214002, Jiangsu, China
  • Received:2020-07-30 Published:2021-05-18

摘要: 目的 研究低温等离子射频术与高频电刀在早期舌癌治疗中的临床比较。方法 选择2010年1月—2015年1月收治的48例早期舌癌患者作为研究对象,采用双盲法将其分为对照组(n=24)和观察组(n=24)。对照组给予高频电刀切除术治疗,观察组给予低温等离子射频术治疗,对比两组术中出血量、术后不同时间点疼痛程度[视觉模拟评分量表(VAS)]、术后6个月创面出血概率和术后5个月复发率。结果 观察组术中出血量少于对照组,差异有统计学意义(P<0.05);观察组术后1 d、3 d、5 d的VAS评分均低于对照组,差异有统计学意义(P<0.05);两组术后创面概率和复发率差异无统计学意义(P>0.05)。结论 早期舌癌患者经低温等离子射频术治疗可减少术中出血量,缓解术后疼痛程度。

关键词: 早期舌癌, 低温等离子射频术, 高频电刀切除, 出血量, 复发率

Abstract: Objective To compare between low-temperature plasma radiofrequency surgery and high-frequency electrosurgical resection in the treatment of early tongue cancer. Methods Forty-eight patients with early tongue cancer treated from January 2010 to January 2015 were selected as study subjects and divided into a control group (n=24) and an observation group (n=24) by a double-blind method. The control group was treated by high-frequency electrosurgical resection, and the observation group was treated by low-temperature plasma radiofrequency surgery. The intraoperative blood loss amount, the degree of pain at different time points after operation [Visual Analogue Scale (VAS)], the rate of wound bleeding 6 months after operation, and the recurrence rate 5 months after operation were compared between the two groups. Results The intraoperative blood loss amount of the observation group was significantly less than that of the control group (P<0.05); the VAS scores of the observation group were significantly lower than those of the control group 1, 3, and 5 d after surgery (P<0.05); the differences in postoperative wound bleeding rate and recurrence rate between the two groups were not significant (P>0.05). Conclusion Low-temperature plasma radiofrequency surgery for early tongue cancer patients can reduce intraoperative blood loss amount and relieve postoperative pain.

Key words: Early tongue cancer, low-temperature plasma radiofrequency surgery, high-frequency electrosurgical resection, blood loss amount, recurrence rate

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