扁桃体低温等离子切除术与传统剥离术术后出血的对照研究

Coblation Assisted Tonsillectomy versus Traditional Dissection Tonsillectomy:a Comparison of Postoperative Hemorrhage

目的比较扁桃体低温等离子切除术与传统剥离术的手术效果及其术后出血并发症情况,为扁桃体切除治疗提供指导依据。方法采用回顾性临床病例对照研究方法,纳入2008年1月至2013年1月行扁桃体切除患者1 179例,其中采用传统剥离术423例(对照组),采用低温等离子切除术756例(观察组)。比较2组手术时间、术后出血量、出血发生率、出血原因以及术后恢复时间。结果与对照组比较,观察组手术时间明显缩短、术中出血量显著减少、术后出血发生率显著减少(均P<0.05),2组术后恢复时间差异无统计学意义(P>0.05)。结论与扁桃体传统剥离术比较,低温等离子切除术具有手术时间短、出血量少、出血并发症少等优点。

Objective To compare the operative results and postoperative hemorrhage after coblation assisted tonsillectomy and traditional dissection tonsillectomy, and to provide a basis for tonsillar excision. Methods Data of 1 179 patients who underwent traditional dissection tonsillectomy（control group,n=423） or coblation assisted tonsillectomy（observation group,n=756） between January 2008 and January 2013 were retrospectively analyzed. Operation time, blood loss, incidence of bleeding, reason for bleeding and postoperative recovery time were compared between the two groups. Results Compared with control group, operation time, blood loss and incidence of postoperative bleeding significantly decreased in observation group（P〈0.05）. There was no significant difference in postoperative recovery time between the two groups（P〉0.05）. Conclusion Coblation assisted tonsillectomy can shorten operation time,reduce blood loss and decrease bleeding complications compared with traditional dissection tonsillectomy.