三种不同扁桃体切除术疗效比较

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 mL、16.1 mL、12.5 mL;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。

Comparison of the efficacy of three different techniques in tonsillectomy

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 post-operative 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 intraoperative bleeding and pain.