Glade Robert S, Pearson Susan E, Zalzal George H, Choi Sukgi S
Division of Otolaryngology, George Washington University Medical Center, Washington, DC 20010, USA.
Otolaryngol Head Neck Surg. 2006 May;134(5):852-5. doi: 10.1016/j.otohns.2005.11.005.
To compare postoperative complication rates of coblation and electrocautery adenotonsillectomies.
Retrospective chart review.
From January 2000 to June 2004, 1997 pediatric patients underwent adenotonsillectomy. 745 coblation, and 1252 electrocautery tonsillectomies were performed. Primary bleed, secondary bleed, and dehydration were seen in 3, 35, and 23 coblation, and 9, 41, and 64 electrocautery tonsillectomies, respectively. Data analysis revealed no significant difference in primary and secondary hemorrhage rate, but a higher dehydration rate in the electrocautery group (P=0.0423). A total of 602 coblation, 763 curette/cautery, and 632 electrocautery adenoidectomies were performed. Neck pain was seen in 0, 17, and 3 patients, respectively. Data analysis showed a higher incidence of neck pain with the curette/cautery technique compared with coblator and cautery techniques (P=0.0006 and P=0.0119, respectively).
Coblation tonsillectomy had similar rates of primary and secondary hemorrhage when compared with electrocautery tonsillectomy but a lower incidence of postoperative dehydration. Coblation adenoidectomy caused less postoperative neck pain than curette/cautery adenoidectomy without significant advantage over cautery adenoidectomy.
B-3b.
比较低温等离子射频消融术和电灼法行腺样体扁桃体切除术的术后并发症发生率。
回顾性病历审查。
2000年1月至2004年6月，1997例儿科患者接受了腺样体扁桃体切除术。其中745例行低温等离子射频消融扁桃体切除术，1252例行电灼法扁桃体切除术。低温等离子射频消融扁桃体切除术中分别有3例、35例和23例出现原发性出血、继发性出血和脱水；电灼法扁桃体切除术中分别有9例、41例和64例出现原发性出血、继发性出血和脱水。数据分析显示，原发性和继发性出血率无显著差异，但电灼法组的脱水率更高（P = 0.0423）。共进行了602例低温等离子射频消融腺样体切除术、763例刮除/电灼腺样体切除术和632例电灼法腺样体切除术。颈部疼痛分别出现在0例、17例和3例患者中。数据分析表明，与低温等离子射频消融术和电灼法相比，刮除/电灼技术导致颈部疼痛的发生率更高（分别为P = 0.0006和P = 0.0119）。
与电灼法扁桃体切除术相比，低温等离子射频消融扁桃体切除术的原发性和继发性出血率相似，但术后脱水发生率较低。低温等离子射频消融腺样体切除术比刮除/电灼腺样体切除术引起的术后颈部疼痛更少，但与电灼法腺样体切除术相比无显著优势。
B - 3b。
