Zhong Zhen, Xiao Shuifang, Wang Chunyan, Wang Huili, Wang Guixiang
Department of Otolaryngology-Head and Neck Surgery, the First Hospital of Peking University, Bejing, China.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006 May;20(9):391-2, 395.
Compare coblation tonsillectomy with blunt dissection tonsillectomy to see if there is any difference in intraoperative bleeding, operating time, postoperative pain, tonsillar fossae healing and return to normal diet and activities.
A randomised control trial was carried out to compare coblation tonsillectomy with blunt dissection tonsillectomy in 56 patients. The same surgeon operated on them all, using Arthro Care EVac 70 Wand for coblation tonsillectomy, and routine instruments for blunt dissection tonsillectomy.
Coblation tonsillectomy was fast and resulted in little intraoperative bleeding. Significant reduction in postoperative pain was found in the patients with coblation tonsillectomy. Patients who had coblation tonsillectomy returned to their normal diet sooner than those who underwent blunt dissection tonsillectomy. Slower healing of the tonsillar fossae was found in the coblation group. One patient in the coblation group suffered from secondary haemorrhage.
Coblation tonsillectomy is easy to perform with little intraoperative bleeding. It offers significant advantages in the postoperative period, with rapid return to a normal diet and reduction in postoperative pain. But it need more time for healing of the tonsillar fossae.
比较低温等离子扁桃体切除术与钝性剥离扁桃体切除术，观察术中出血、手术时间、术后疼痛、扁桃体窝愈合情况以及恢复正常饮食和活动方面是否存在差异。
开展一项随机对照试验，对56例患者的低温等离子扁桃体切除术与钝性剥离扁桃体切除术进行比较。所有手术均由同一位外科医生实施，低温等离子扁桃体切除术使用Arthro Care EVac 70 Wand，钝性剥离扁桃体切除术使用常规器械。
低温等离子扁桃体切除术速度快，术中出血少。接受低温等离子扁桃体切除术的患者术后疼痛明显减轻。低温等离子扁桃体切除术患者比接受钝性剥离扁桃体切除术的患者更早恢复正常饮食。低温等离子组扁桃体窝愈合较慢。低温等离子组有1例患者发生继发性出血。
低温等离子扁桃体切除术操作简便，术中出血少。在术后阶段具有显著优势，能快速恢复正常饮食并减轻术后疼痛。但扁桃体窝愈合需要更多时间。
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