Adnan Mustafa T, Abdel-Fattah Moataz M, Makhdoom Naeem K, El-Khouly Atef A
Department of Ear, Nose & Throat, Al-Hada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia.
Saudi Med J. 2008 Dec;29(12):1775-8.
To compare the intra- and post- operative morbidities on the use of radiofrequency ultrasonic dissector (US) with the use of laser during tonsillectomy in the same patients.
A randomized comparative study was implemented where all patients underwent tonsillectomy at Al-Hada Armed Forces Hospital, Taif, and Aouhod Hospital, Al-Madinah, Kingdom of Saudi Arabia during the period January 2000 to December 2005 were recruited for the study. Radiofrequency US was used in one side, and laser was used in the other side of the same patient. Intra- and post- operative blood losses, and duration of the operation, in addition to postoperative pain score were recorded.
Five hundred and twenty-eight patients were recruited for the study. The mean operation duration was significantly shorter in the US group as compared to the laser group (p<0.01). Intraoperative blood loss was significantly lesser in the US group (p<0.001). Post-operative pain score was significantly lower among US subjects (p<0.001). No significant difference in postoperative hemorrhage was detected between the compared groups.
The use of US in tonsillectomy showed a beneficial effect on intraoperative blood loss, duration of the operation, as well as, postoperative pain over the use of laser.
比较同一患者在扁桃体切除术中使用射频超声解剖器（US）和激光时的术中及术后发病率。
进行一项随机对照研究，招募2000年1月至2005年12月期间在沙特阿拉伯王国塔伊夫的哈达武装部队医院和麦地那的奥胡德医院接受扁桃体切除术的所有患者。在同一患者的一侧使用射频超声解剖器，另一侧使用激光。记录术中及术后失血量、手术时长以及术后疼痛评分。
共招募了528名患者进行研究。与激光组相比，超声解剖器组的平均手术时长显著更短（p<0.01）。超声解剖器组的术中失血量显著更少（p<0.001）。超声解剖器组患者的术后疼痛评分显著更低（p<0.001）。比较组之间术后出血情况无显著差异。
在扁桃体切除术中使用超声解剖器相较于使用激光，在术中失血量、手术时长以及术后疼痛方面显示出有益效果。
