三种不同扁桃体切除术疗效比较

Comparison of the efficacy of three different techniques in tonsillectomy

目的探讨比较冷器械切除+缝合术、单极电凝切除术、等离子射频术三种不同手术方法切除扁桃体的疗效。方法将扁桃体切除术患者分为三组,冷器械切除+缝合术(A组)65例;单极电凝切除术(B组)40例;等离子射频切除术(C组)38例。记录扁桃体切除手术总时间、术中出血量、疼痛评分,术后复查时观察扁桃体白膜状况。结果 A、B、C三组的平均手术时间分别为58.8 min、27.0 min、23.7 min;术中平均出血量分别为34.2 m L、16.1 m L、12.5 m L;术后3 h和术后第1天的疼痛评分之间,差异均有统计学意义。结论与冷器械切除+缝合术和单极电凝切除术相比,等离子射频术切除扁桃体费用较高,但其手术时间短,术中出血量少,术后疼痛程度小。

Objective To compare the clinical efficacy of cold dissection, monopolar diathermy dissection and radiofre- quency ablation in tonsillectomy. Methods Patients undergone tonsillectomy were divided into 3 groups： cold dissec- tion ＋ suture group （group A, n = 65 ）, unipolar electric coagulation resection group （group B, n = 40 ）, plasma radiofrequency resection group （group C, n = 38）. The operation time, intraoperative blood loss, pain score, and postoperative albuginea of all groups were recorded and compared. Results The average operation time and intraoperative blood loss of group A, B and C were （58.8, 27.0 and 23.7） min, （34.2, 16.1 and 12.5） mL, respectively. There was significant difference in postoperative pain score 3 hour and 1 day after surgery. Conclusion Compared with cold dissection and monopolar diathermy dissection, radiofrequency ablation is more expansive, but it needs shorter operation time and causes less intraoperafive bleeding and pain.