Skilbeck C J, Tweedie D J, Lloyd-Thomas A R, Albert D M
Department of Paediatric Otolaryngology, The Great Ormond Street Hospital for Children, London WC1N 3JH, United Kingdom.
Int J Pediatr Otorhinolaryngol. 2007 Jun;71(6):917-20. doi: 10.1016/j.ijporl.2007.03.001. Epub 2007 Mar 30.
When introduced, suction coagulation was initially utilised for haemorrhage control following curettage of the adenoid pad. More recently the whole procedure has been performed using the technique. This study aims to report post-operative haemorrhage rates and risk of recurrence in adenoidectomy performed solely by suction diathermy in children.
A retrospective study of 1411 consecutive paediatric patients. Surgery was performed using suction diathermy. No patients were excluded. All patients were followed up.
There were no cases of post-operative haemorrhage. 1.7% of patients remained symptomatic and underwent revision adenoidectomy. None required a third procedure.
Re-growth of adenoid tissue may occur despite visualisation of the nasopharynx at the time of surgery. The incidence of re-growth is similar to that reported in patients undergoing conventional adenoidectomy by curettage. Post-operative haemorrhage was not encountered in children having adenoidectomy by suction diathermy. The authors suggest suction diathermy as the most appropriate method for adenoidectomy in children.
吸引凝固术最初用于腺样体刮除术后的止血。最近，整个手术过程都采用了该技术。本研究旨在报告仅通过吸引透热法对儿童进行腺样体切除术的术后出血率和复发风险。
对1411例连续的儿科患者进行回顾性研究。手术采用吸引透热法进行。无患者被排除。所有患者均接受随访。
无术后出血病例。1.7%的患者仍有症状并接受了腺样体切除修正手术。无人需要进行第三次手术。
尽管手术时可见鼻咽部，但腺样体组织仍可能再生。再生发生率与传统腺样体刮除术患者的报告相似。通过吸引透热法进行腺样体切除术的儿童未发生术后出血。作者建议吸引透热法是儿童腺样体切除术最合适的方法。
