Department of Otolaryngology, Head and Neck Surgery, Bozok University Medical Faculty, Yozgat, Turkey.
Eur Arch Otorhinolaryngol. 2013 Mar;270(3):1143-7. doi: 10.1007/s00405-012-2160-y. Epub 2012 Aug 22.
This study aimed at investigating the thermal welding (TW), classic dissection (CD) and bipolar cautery dissection (BCD) tonsillectomy in adults. 120 adults with chronic tonsillitis, who were scheduled for elective tonsillectomy between January 2009 and April 2012, were randomized to tonsillectomy with the TW, CD and BCD methods. Operation time, intraoperative blood loss, post-operative haemorrhage rate and especially post-operative pain were evaluated. The difference between operative time of the TW and BCD groups against CD group was statistically significant (p < 0.05). The difference between intraoperative blood loss of the TW and BCD groups against CD group was statistically significant (p < 0.05). No significant difference was found in the incidence of post-tonsillectomy haemorrhage between the three groups (p > 0.05). The difference between post-operative pain score between CD and TW was not statistically significant (p > 0.05). The difference between post-operative pain score of the two groups against BCD group was statistically significant (p < 0.05). TW technique is a relatively safe and reliable method with significantly less post-operative morbidity than CD and BCD tonsillectomy. When we compared TW with the CD and BCD tonsillectomy, we found significant reduction in the surgical time and the intraoperative blood loss without any increase in the post-operative pain.
本研究旨在探讨热焊接（TW）、经典解剖（CD）和双极电凝解剖（BCD）扁桃体切除术在成人中的应用。选取 2009 年 1 月至 2012 年 4 月期间计划择期行扁桃体切除术的 120 例慢性扁桃体炎成人患者，随机分为采用 TW、CD 和 BCD 方法行扁桃体切除术的三组。评估手术时间、术中出血量、术后出血率和术后疼痛等。TW 组和 BCD 组与 CD 组的手术时间差异具有统计学意义（p<0.05）。TW 组和 BCD 组与 CD 组的术中出血量差异具有统计学意义（p<0.05）。三组患者术后扁桃体切除术后出血发生率差异无统计学意义（p>0.05）。CD 组和 TW 组术后疼痛评分差异无统计学意义（p>0.05）。两组与 BCD 组术后疼痛评分差异具有统计学意义（p<0.05）。TW 技术是一种相对安全可靠的方法，与 CD 和 BCD 扁桃体切除术相比，术后发病率明显降低。当我们将 TW 与 CD 和 BCD 扁桃体切除术进行比较时，我们发现手术时间和术中出血量明显减少，而术后疼痛没有增加。
