双极电凝在儿童扁桃体切除术中的应用分析

Application analysis of bipolar electrocoagulation in the children undergoing tonsillectomy

目的探讨双极电凝在儿童扁桃体切除术中的应用效果。方法选择2010年1月~2016年12月60例行扁桃体切除术的患儿为研究对象。入选患儿被分为两组实施对比研究,每组30例,其中对照组给予扁桃体剥离术治疗,研究组给予双极电凝治疗。观察两组患儿的手术时间、术中出血情况、术后7 d疼痛评分、住院观察时间、并发症发生情况,并进行统计与比较。结果研究组的手术时间与术中出血量均明显少于对照组,差异有统计学意义(P<0.05)。研究组的术后7 d疼痛评分与住院观察时间,均显著低于对照组,差异有统计学意义(P<0.05)。对照组术后并发症发生率为16.67%,研究组并发症发生率为3.33%,差异有统计学意义(P<0.05)。结论双极电凝应用于儿童扁桃体切除术中效果显著,具有手术时间短、术中出血少等特点,且术后疼痛程度较轻,并发症少,可以促进患者的早日康复。

Objective To explore the application effect of bipolar electrocoagulation in pediatric tonsillectomy. Methods A total of 60 children patients who were given tonsillectomy from January 2010 to December 2016 were selected as the study subjects. The selected patients were divided into two groups to carry out comparative studies, with 30 cases in each group. The control group was given tonsillectomy, and the study group was given bipolar electrocoagulation therapy. The operation time and intraoperative bleeding, postoperative 7 d pain score, length of stay and complications were observed in both groups, and were statistically analyzed and compared. Results The operation time and intraoperative blood loss in the study group were significantly less than those in the control group, and the differences were statistically significant（P〈0.05）. The postoperative 7 d pain score and hospitalization observation time in the study group were both significantly lower than those in the control group, and the difference was statistically significant（P〈0.05）. The incidence rate of postoperative complications in the control group was 16.67%, and the incidence rate of complications in the study group was 3.33%, the difference was statistically significant（P〈0.05）. Conclusion Bipolar electrocoagulation is significantly effective in children patients undergoing tonsillectomy. It has the characteristics of short operation time, less intraoperative bleeding, tess postoperative pain, and fewer complications, which can promote the early recovery of patients.