双极电凝镊在扁桃体摘除术中的应用

Application of bipolar coagulation forceps in tonsillectomy

目的:通过比较采用双极电凝镊与传统的剥离法实施扁桃体摘除的手术效果,探讨双极电凝镊在扁桃体摘除术中的应用效果。方法:选取行扁桃体手术摘除的患者100例,前瞻性地分为两组,比较手术时间、术中出血量及术后患者并发症、疼痛程度及恢复时间。结果:用双极电凝镊行扁桃体摘除与普通法扁桃体摘除相比,手术时间短,术中出血少,术后并发症发生率低,患者痛苦轻。结论:采用双极电凝镊扁桃体摘除手术效果明显优于普通剥离法扁桃体摘除,两方法术后恢复时间无统计学差别。

Objective： To explore the effect of bipolar coagulation forceps in tonsillectomy. Methods： One hundred patients were prospectively randomly divided into two groups： the tonsillectomy with bipolar coagulation forceps （TF：bcf） group and the traditional blunt dissection tonsillectomy （TE-trad） group. The surgical duration and intraoperative blood loss were determined. The postoperative pain scale, time of returning to a normal diet, and postoperative complications were also determined. Result： Surgical time was significantly shorter in the TE-bcf group than in the TE-trad group. Intra-operative blood loss was statistically less in the TE-bcf group than in the TE-trad group. The daily pain score was not statistically different between the two groups. Conclusion： TE-bcf offers a better effect than TE-trad does.