Low temperature plasma radiofofency ablation of tonsil under 70° nasal endoscope can directly view the lesion area on the monitor, clearly enlarge the operating field, and has the advantages of small surgical trauma, good hemostatic effect, light postoperative pain, low probability of postoperative bleeding and quick postoperative recovery of patients, etc. It is a good surgical mode integrating surgery and teaching, and has brought great benefits to patients, and is worth promoting and applying.
History of recurrent acute attacks of chronic tonsillitis, with the number of attacks >3 times per year for more than 2 years;
accompanied by snoring, choking and apnea during night sleep;
Age 3-65 years old, gender is not limited;
No major systemic diseases, such as cardiovascular and cerebrovascular diseases, liver and kidney insufficiency, hematopoietic system diseases;
cardiopulmonary insufficiency;
Patients with systemic blood diseases;
Patients with acute and chronic bronchial or lung infections;
Complicated with severe cardiovascular system disease or hepatic and renal insufficiency;
Single group
Application and demonstration of endoscope-assisted low-temperature plasma radiofrequency ablation resection of tonsils
Procedure/SurgeryLow temperature plasma radiofofency ablation of tonsil under 70° nasal endoscope can directly view the lesion area on the monitor, clearly enlarge the operating field, and has the advantages of small surgical trauma, good hemostatic effect, light postoperative pain, low probability of postoperative bleeding and quick postoperative recovery of patients, etc. It is a good surgical mode integrating surgery and teaching, and has brought great benefits to patients, and is worth promoting and applying.
Perioperative indexes
operation time, intraoperative blood loss, length of hospital stay
Visual Analogue Scale (VAS)
VAS score is a widely used subjective assessment method for pain assessment. Using a walking scale about 10cm long, one side is marked with 10 scales, and the two ends are respectively "0" and "10". 0 indicates no pain, and 10 indicates unbearable pain. The patient is asked to mark the pain value and record it.
Endoscopic examination
the formation and shedding of tonsillar fossa in the operative area were observed through the mouth under a 70-degree nasal endoscope; Whether there is bleeding or bleeding in the operative area; The recovery of the operative area and the presence or absence of granulation tissue hyperplasia
Postoperative bleeding
Observe and record postoperative bleeding, and calculate the bleeding rate.
The occurrence of complications was recorded.
Were there any complications within 1 month after surgery and what were the complications
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