D'Eredità Riccardo, Marsh Roger R
Department of Otolaryngology-Head and Neck Surgery, Division of Pediatric Otolaryngology, Vicenza Civil Hospital, Vicenza, Italy.
Otolaryngol Head Neck Surg. 2004 Nov;131(5):732-5. doi: 10.1016/j.otohns.2004.04.031.
To compare contact diode laser (CDL) tonsillectomy to monopolar cautery (MPC) with regard to pain and other morbidity during recovery.
Single-blind, randomized trial in a tertiary-care pediatric hospital. Tonsillectomy was performed by CDL in 30 children and by MPC in 28. Parents completed a daily questionnaire for 10 days after surgery.
There was significantly less pain in the CDL group than in the MPC group. The CDL group also required much less medication, and was much less likely to experience multiple awakenings (P < 0.001 for all comparisons).
Recovery after CDL tonsillectomy was associated with much less pain and discomfort than after MPC surgery.
Postoperative pain is a major concern for surgeons, patients, and their parents. The long recovery period also has costs in school days missed for the child and work missed for the parents. CDL tonsillectomy may greatly mitigate these burdens.
比较接触式二极管激光（CDL）扁桃体切除术与单极电烙术（MPC）在恢复过程中的疼痛及其他并发症情况。
在一家三级护理儿童医院进行的单盲随机试验。30名儿童接受CDL扁桃体切除术，28名儿童接受MPC扁桃体切除术。术后10天家长每天填写问卷。
CDL组的疼痛明显少于MPC组。CDL组所需药物也少得多，多次醒来的可能性也小得多（所有比较P<0.001）。
与MPC手术后相比，CDL扁桃体切除术后恢复时的疼痛和不适要少得多。
术后疼痛是外科医生、患者及其家长主要关注的问题。较长的恢复期对孩子缺课天数和家长误工天数也有影响。CDL扁桃体切除术可能会大大减轻这些负担。
