Lorenz K J, Kresz A, Maier H
Abteilung für Hals-Nasen-Ohrenheilkunde, Kopf-Halschirurgie, Bundeswehrkrankenhaus Ulm.
HNO. 2005 May;53(5):423-7. doi: 10.1007/s00106-004-1129-6.
: Tonsillectomy is one of the most common procedures in head and neck surgery. Various techniques have been developed to reduce the risk of postoperative bleeding and postoperative pain. Water-jet technology has been designed for a gentle dissection of parenchymal organs. We report the results of a first pilot study using the water-jet technique for tonsillectomy.METHODS.: Water-jet-cutting tonsillectomy was compared with conventional blunt dissection tonsillectomy. 60 Patients were stratified in two groups within a preliminary prospective randomised study. Postoperative pain scores, frequency of postoperative bleeding and intraoperative blood loss were documented.RESULTS.: There was no difference in the average duration of the surgical procedure. The intraoperative bloodloss was markedly decreased in water-jet-cutting tonsillectomy. Postoperative bleeding and postoperative pain were decreased in the water-jet-cutting group.CONCLUSION.: The results of this pilot study demonstrate that water-cutting tonsillectomy is associated with less intraoperative bleeding, reduced frequency of postoperative bleeding events and with less postoperative pain.
扁桃体切除术是头颈外科最常见的手术之一。已经开发出各种技术来降低术后出血和术后疼痛的风险。水刀技术专为实质器官的轻柔解剖而设计。我们报告了首例使用水刀技术进行扁桃体切除术的初步试验研究结果。方法：将水刀切割扁桃体切除术与传统钝性剥离扁桃体切除术进行比较。在一项初步前瞻性随机研究中，将60例患者分为两组。记录术后疼痛评分、术后出血频率和术中失血量。结果：手术平均时长无差异。水刀切割扁桃体切除术中的术中失血量明显减少。水刀切割组的术后出血和术后疼痛均有所减轻。结论：这项初步试验研究的结果表明，水刀切割扁桃体切除术术中出血更少，术后出血事件频率降低，术后疼痛也更少。
