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慢性扁桃体炎是耳鼻咽喉科常见病,我们于1994年3～9月,以电离子手术治疗慢性扁桃体炎患者56例,经术后观察和1年以上的随访,疗效满意.现报告如下.1 资料与方法1.1 临床资料本组56例慢性扁桃体炎患者,男50例,女6例;年龄10～36岁,平均20岁.病程1～10年.慢性扁桃体炎每年发作6～11次.检查:扁桃体大小如表1.56例均作免疫球蛋白测定.1.2 治疗方法GX-Ⅲ型多功能电离子手术治疗机(广西科学院应用物理研究所产),功率100W,配有脚踏开关和长短火输出,输出电压5～15V.患者取坐位.以1%利多卡因10ml,两侧扁桃体周围粘膜下浸润麻醉;或1%地卡因粘膜表面麻醉(每隔5min喷1次,共3次).输出电压调至10～14V,短火,用直径0.03～0.05cm电离绝缘探针分别插入扁桃体隐窝及扁桃体组织内约0.5～0.8cm,根据扁桃体大小每侧约5～10点,同时启动脚踏开关,时间1.0s,使扁桃体电离.术后进半流质饮食,以1:5000呋喃西林液含漱1周.
Chronic tonsillitis is a common disease of otorhinolaryngology, we from March to September 1994, iontophoresis surgery in patients with chronic tonsillitis in 56 cases, after the observation and more than 1 year follow-up, the results are satisfactory. The report is as follows.1 Materials and Methods 1.1 Clinical data The group of 56 patients with chronic tonsillitis, 50 males and 6 females; aged 10 to 36 years old, average 20 years old. The course of 1 to 10 years. Chronic tonsillitis attack 6 to 11 times a year. : Tonsil size as shown in Table 1.56 cases were immunoglobulin determination .1.2 treatment GX-Ⅲ-type multi-function iontophoresis machine (Guangxi Academy of Sciences Institute of Applied Physics), power 100W, with a foot switch and the length of the fire output , The output voltage of 5 ~ 15 V. Patients sitting position with 1% lidocaine 10ml, bilateral submucosal infiltration anesthesia; or 1% dexamethasone mucosal surface anesthesia (every 5min spray a total of 3 times). Output voltage adjusted to 10 ~ 14V, short fire, with a diameter of 0.03 ~ 0.05cm ionization insulation probe were inserted into tonsil crypt and tonsil tissue about 0.5 ~ 0.8cm, according to the size of each side of about 5 ~ 10 points, while starting foot Tread the switch, the time 1.0s, so that the tonsil ionization. After surgery into the semi-liquid diet to 1: 500 0 nitrofurazone rinse for 1 week.