Javed F, Sadri M, Uddin J, Mortimore S, Parker D
Department of Otorhinolaryngology, Derbyshire Royal Infirmary, UK.
Acta Otolaryngol. 2007 Mar;127(3):300-4. doi: 10.1080/00016480600895052.
A significant reduction in post-tonsillectomy secondary haemorrhage rate was observed after coblation tonsillectomy was abandoned in our department.
Comparison of the postoperative haemorrhage rate following coblation tonsillectomy and routine dissection tonsillectomy.
This was a retrospective study. In the first audit period, 441 sequential tonsillectomies between January and September 2002 were reviewed. Coblation was compared with cold steel and diathermy dissection with either ties and/or diathermy used for haemostasis. Coblation tonsillectomy was subsequently abandoned in our unit and, in the second audit period, all tonsillectomies (n=416) between July 2003 and August 2004 were included. Statistical analysis was performed using the chi2 test.
The overall primary haemorrhage rate in the first audit cycle was 1.8% (8/441). In the second cycle with no coblation procedures, 1.4% of patients (6/416) suffered from primary haemorrhage (c.f. 8/441 (1.8%) in the first cycle, p=0.666). Secondary haemorrhage, was seen among 15.4% of patients (68/441) in the first audit cycle. In the second cycle, after coblation was discontinued, the secondary haemorrhage rate fell significantly (p<0.001) to 5.8% (24/416). A breakdown of the results of cold steel/diathermy and coblation techniques in both adults and children is also presented.
在我们科室放弃使用低温等离子体扁桃体切除术后，观察到扁桃体切除术后继发性出血率显著降低。
比较低温等离子体扁桃体切除术与常规剥离扁桃体切除术的术后出血率。
这是一项回顾性研究。在第一个审核期，对2002年1月至9月期间连续进行的441例扁桃体切除术进行了回顾。将低温等离子体切除术与使用结扎和/或透热法止血的冷钢和透热剥离术进行比较。随后我们科室放弃了低温等离子体扁桃体切除术，在第二个审核期，纳入了2003年7月至2004年8月期间所有的扁桃体切除术（n = 416）。使用卡方检验进行统计分析。
第一个审核周期的总体原发性出血率为1.8%（8/441）。在第二个没有低温等离子体手术的周期中，1.4%的患者（6/416）发生原发性出血（第一个周期为8/441（1.8%），p = 0.666）。在第一个审核周期中，15.4%的患者（68/441）出现继发性出血。在第二个周期，停止使用低温等离子体切除术后，继发性出血率显著下降（p < 0.001）至5.8%（24/416）。还列出了成人和儿童中冷钢/透热法和低温等离子体技术的结果细分情况。
