会厌囊肿等离子手术与传统方法围手术期术后不良反应的对照研究

目的: 探讨会厌囊肿等离子手术与传统手术围手术期术后不良反应发生率的差异及影响术后不良反应的相关因素。方法: 对施行会厌囊肿摘除术病人，采用逐一配对法进行配对，纳入等离子手术组（治疗组）90例，传统手术组（对照组）90例。对比两组术中与术后1周内不良反应的发生情况，并对全组术后不良反应的相关因素进行多因素回归分析。结果: 等离子手术组与传统手术组无术中不良反应，术后不良反应发生率分别为27.8%（25/90）和60.0%（54/90），二者差异具有统计学意义（P＜0.05）。其中，治疗组和对照组术后24小时内出血、吞咽疼痛的发生率分别为5.6%和16.7%,14.4%和37.8%，差异均具有统计学意义（P＜0.05），而两组术后呼吸困难和进食呛咳的发生率比较，差异均无统计学意义（P＞0.05）。多因素回归分析发现，手术时间和是否等离子手术是影响会厌囊肿摘除术后不良反应发生的独立危险因素（P＜0.05）。结论: 会厌囊肿等离子手术术后不良反应发生率低于传统手术。是否等离子手术和手术时间是影响会厌囊肿摘除术后不良反应发生的独立危险因素。

Perioperative adverse reaction between coblation operation and traditional operation for epiglottis cysts: A case control study

Objective : To compare the adverse reactions caused by coblation operation and traditional operation for epiglottis cysts and the related risk factors of postoperative adverse reactions. Methods:A retrospective case-control study was performed to compare coblation operation and traditional operation for epiglottis cysts. A total of 90 patients with epiglottis cysts undergoing coblation operation were enrolled and were compared with 90 patients suffering epiglottis cysts who underwent traditional operation during the same period. The preoperative adverse reaction morbidities were compared between the two groups. The risk factors determined by postoperative adverse reaction were investigated by multivariate analysis. Results:The intraoperative adverse reaction was not observed. The postoperative adverse reaction incidence was 27.8% in coblation operation group and 60.0% in traditional operation group（P＜0.05）, among which the adverse reaction incidence of postoperation in 24 hours bleeding was 5.6% and 14.4% in oblation operation group and in traditional operation group（P＜0.05）,and the adverse reaction incidence of swallowing pain was 16.7% and 37.8% in oblation operation group and in traditional operation group（P＜0.05）.There was no significant difference between the two groups in other postoperative adverse reaction incidences（P＞0.05）. Multivariate logistic regression analysis showed that whether coblation operation and operation time were independent risk factors for postoperative adverse reaction（P＜0.05）. Conclusion:The postoperative adverse reaction incidence is significantly lower in coblation operation group than that in traditional operation group. Coblation operation is an independent risk factor for postoperative adverse reaction in epiglottis cysts.