小儿扁桃体切除术中双极电凝与冷剥离术的比较
Bipolar diathermy versus cold dissection in paediatric tonsillectomy.
作者信息
Hesham Ahmed
机构信息
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Magrabi Eye and Ear Hospital, P.O.Box: 513, Postal Code 112, Muscat, Oman.
出版信息
Int J Pediatr Otorhinolaryngol. 2009 Jun;73(6):793-5. doi: 10.1016/j.ijporl.2008.09.026. Epub 2008 Nov 28.
OBJECTIVES
To compare bipolar diathermy with cold dissection in paediatric tonsillectomy.
METHODS
One hundred and fifty children were randomized equally into bipolar diathermy tonsillectomy (BDT) and cold dissection tonsillectomy (CDT). Operative time, operative blood loss, postoperative pain, diet intake, activity level and complications were compared in the 2 groups.
RESULTS
The 2 groups were comparable in age and sex distribution. Operative time and blood loss was significantly less in the diathermy group. No significant difference in the postoperative pain except on the 3rd day in which the cold dissection group showed significantly lower pain score. Mean percentage of diet was significantly higher in the diathermy group on the 1st day. No significant difference between the 2 groups in terms of postoperative activity and complications.
CONCLUSION
BDT is a safe technique of tonsillectomy. There is significant less operative time and blood loss with similar morbidity compared to CDT, so it can be used safely in children.
目的
比较双极电凝与冷剥离在小儿扁桃体切除术中的应用。
方法
150名儿童被平均随机分为双极电凝扁桃体切除术（BDT）组和冷剥离扁桃体切除术（CDT）组。比较两组的手术时间、术中出血量、术后疼痛、饮食摄入、活动水平及并发症。
结果
两组在年龄和性别分布上具有可比性。电凝组的手术时间和出血量显著更少。除第3天冷剥离组疼痛评分显著更低外，术后疼痛无显著差异。电凝组第1天的平均饮食百分比显著更高。两组在术后活动和并发症方面无显著差异。
结论
BDT是一种安全的扁桃体切除技术。与CDT相比，手术时间和出血量显著更少，发病率相似，因此可安全用于儿童。
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