Heyden H v, Schäfer E, Jecker P, Gosepath J, Mann W J
Abteilung für Hals-Nasen-Ohren-Heilkunde, Universitätsklinikum Mainz, Mainz, Germany.
HNO. 2007 Sep;55(9):684-9. doi: 10.1007/s00106-006-1502-8.
Postoperative bleeding is the major complication in tonsillectomy, and pain the most common side effect. The use of bipolar scissors versus blunt dissection tonsillectomy were compared in this study in order to evaluate postoperative bleeding and pain, as well as operative time.
In this case control study, 138 patients with the diagnosis of chronic tonsillitis, mononucleosis or a peritonsillar abscess were divided into two groups. A total of 78 patients were operated using bipolar scissors while 60 patients underwent tonsillectomy by blunt dissection. Operating time, frequency of postoperative bleeding and the postoperative pain score were compared between these two groups.
The average operating time in the bipolar scissor group showed a tendency to be shorter than in the blunt dissection group (mean 4.1 min), although this did not reach a level of statistical significance. No differences were seen in pain scores or in the incidence of postoperative bleeding.
The data documented in this study show that tonsillectomy with bipolar scissors might represent a surgical option to reduce surgical time in a larger patient group. Postoperative pain and the incidence of postoperative bleeding did not show any statistical difference between the two surgical techniques.
术后出血是扁桃体切除术中的主要并发症，疼痛是最常见的副作用。本研究比较了使用双极剪刀与钝性剥离扁桃体切除术，以评估术后出血、疼痛以及手术时间。
在这项病例对照研究中，138例诊断为慢性扁桃体炎、单核细胞增多症或扁桃体周围脓肿的患者被分为两组。总共7️⃣8️⃣例患者使用双极剪刀进行手术，而6️⃣0️⃣例患者通过钝性剥离进行扁桃体切除术。比较两组的手术时间、术后出血频率和术后疼痛评分。
双极剪刀组的平均手术时间有比钝性剥离组短的趋势（平均4.1分钟），尽管这未达到统计学显著水平。疼痛评分或术后出血发生率未见差异。
本研究记录的数据表明，使用双极剪刀进行扁桃体切除术可能是在更大患者群体中减少手术时间的一种手术选择。两种手术技术在术后疼痛和术后出血发生率方面未显示任何统计学差异。
