全麻下单极电刀切除扁桃体90例疗效观察

目的 探讨全麻下运用单极电刀实施扁桃体切除术的临床疗效。方法 将行扁桃体切除术的患者180例随机平均分为两组，术前全身麻醉，实验组（A组）行单极电刀全程切除双侧扁桃体，对照组（B组）采用传统扁桃体剥离术，对两组的手术时间、出血量、白膜脱离时间及术后疼痛程度等进行比较。结果 A组术中出血量、手术时间较B组明显减少，术后疼痛时间也较B有所降低，但是白膜脱落时间稍长。结论 全麻下单极电刀扁桃体切除术有操作简便、视野清楚、手术时间短、术中出血极少等优势。

Tonsillectomy with monopolar cautery under general anesthesia (90 cases report)

Objective To investigate the tonsillectomy with monopolar cautery under general anesthesia. Methods 180 patients were divided into two groups: experimental group A and control group B ( 90 patients per group).The experimental group was treated with monopolar cautery, while the control group was treated with conventional tonsillectomy. The operating time,hemorrhage during the operation, the condition of white membrane and postoperative pain were analyzed. Results Compared with the control group ,the experimental group presented with less hemorrhage, shorter operating time, but longer time of white membrane (P<0.05). Conclusion Tonsillectomy with monopolar cautery is effective and safe, with minimal invasion,few bleeding, rapid recovery and little adverse effect. It is highly recommended in the practice.