梁永辉1.2 陈贤明3 高碧珍2 王魁花4?

Application of modified Davis-Boyle Mouth Gag in plasma tonsillectomy

摘要:

目的 探讨采用改良戴维氏开口器辅助扁桃体切除术的应用效果。方法 回顾自2017年7月至2021年2月收治的110例符合扁桃体切除手术指征的患者，试验组55例，行改良戴维氏开口器辅助下扁桃体切除术；对照组55例，行传统戴维氏开口器辅助下扁桃体切除术。比较两组扁桃体下极暴露效果、开口器暴露术野完成时间、全部手术时间以及扁桃体下极残留、咽舌弓粘膜撕裂、舌麻痹等情况。结果 相对于传统戴维氏开口器辅助下扁桃体切除术，改良戴维氏开口器辅助下扁桃体切除术扁桃体下极视野暴露清楚，术野暴露时间及手术时间更短，扁桃体下极残留、舌麻痹、咽舌弓撕裂发生率较低。结论 改良戴维氏开口器辅助下扁桃体切除术具有较好的手术视野，有利于提高手术质量，值得临床推广应用。

Abstract:

0bjective:To evaluate the effect of modified Davis-Boyle Mouth Gag in tonsillectomy. Methods:From July 2017 to February 2021,110 patients who met the criteria for tonsillectomy were reviewed.?In the experimental group, 55 patients underwent modified Davis-Boyle Mouth Gag assisted tonsillectomy, while in the control group, 55 patients underwent traditional Davis-Boyle Mouth Gag assisted tonsillectomy. The results of the two groups were compared in the following aspects: the effect of subtonsil extreme exposure, the time to finish the operation field, the total operation time, the residue of subtonsil extreme, the tear of the Mucosa of the pharyngeal arch and the paralysis of the tongue. Result：Compared with the traditional Davis-Boyle Mouth Gag assisted tonsillectomy, the modified Davis-Boyle Mouth Gag assisted tonsillectomy had a better exposure of the lower pole of the tonsillectomy field and a shorter exposure time and operation time, the lower residue of Tonsil, tongue paralysis and tear of pharyngeal-lingual arch were lower. Conclusion： Tonsillectomy With Modified Davis-Boyle Mouth Gag has a better visual field, is helpful to improve the quality of surgery, and is worthy of clinical application.