低温等离子体消融术与电烙术扁桃体切除术：成人术后恢复情况
Coblation vs electrocautery tonsillectomy: postoperative recovery in adults.
作者信息
Tan Alvin Kah Leong, Hsu Pon Poh, Eng Soh Ping, Ng Yuk Hui, Lu Peter Kuo Sun, Tan Su Meng, Say Jia Huey, Chan Yiong Huak
机构信息
Division of Otolaryngology, Changi General Hospital, Republic of Singapore.
出版信息
Otolaryngol Head Neck Surg. 2006 Nov;135(5):699-703. doi: 10.1016/j.otohns.2006.03.008.
OBJECTIVE
Comparison of coblation and monopolar electrocautery tonsillectomy in terms of postoperative pain and recovery.
STUDY DESIGN
Prospective double-blind randomized controlled trial.
METHODS
Patients with recurrent tonsillitis requiring tonsillectomy were randomized to 2 groups: coblation or monopolar electrocautery tonsillectomy. Postoperative pain, complications, and days taken to return to work and normal diet were compared and analyzed with the aid of a pain diary, given to the patient.
RESULTS
67 patients were recruited. Patients undergoing coblation tonsillectomy were able to return to normal diet in a shorter space of time following surgery. Patients undergoing coblation tonsillectomy were more likely to recommend the surgery than patients undergoing electrocautery tonsillectomy. No significant differences in the daily visual analog score for pain were seen for both groups of patients.
CONCLUSIONS
Our results showed that coblation tonsillectomy has a faster recovery period and may offer advantages when compared to monopolar electrocautery tonsillectomy.
目的
比较低温等离子刀和单极电烙术扁桃体切除术在术后疼痛和恢复方面的情况。
研究设计
前瞻性双盲随机对照试验。
方法
将需要进行扁桃体切除术的复发性扁桃体炎患者随机分为两组：低温等离子刀扁桃体切除术组或单极电烙术扁桃体切除术组。借助提供给患者的疼痛日记，对术后疼痛、并发症以及恢复工作和正常饮食所需的天数进行比较和分析。
结果
招募了67名患者。接受低温等离子刀扁桃体切除术的患者术后能在更短时间内恢复正常饮食。与接受电烙术扁桃体切除术的患者相比，接受低温等离子刀扁桃体切除术的患者更有可能推荐该手术。两组患者的每日视觉模拟疼痛评分无显著差异。
结论
我们的结果表明，与单极电烙术扁桃体切除术相比，低温等离子刀扁桃体切除术恢复期更快，可能具有优势。
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