Omrani Mohammadreza, Barati Behrouz, Omidifar Navid, Okhovvat Ahmad Reza, Hashemi Seyed Amirhossein Ghazizadeh
Otorhinolaryngologist, Sadi Hospital, Isfahan, Iran.
J Res Med Sci. 2012 Jan;17(1):45-50.
Coblation tonsillectomy is a new surgical technique and demands further research to be proven as a suitable and standard method of tonsillectomy. This study compares coblation and traditional tonsillectomy techniques in view of their advantages and complications.
In a prospective double-blind randomized controlled trial information on operation time, intraoperative blood loss, postoperative pain, time needed to regain the normal diet and activity and postoperative hemorrhage were gathered and compared between two groups containing 47 patients in each group.
We found statistically significant differences in operation time (p < 0.05), intraoperative blood loss (p < 0.05), postoperative pain (p < 0.001), time needed to find back the normal diet (p < 0.001) and normal activity (p < 0.001). However, post operation hemorrhage (p > 0.5) was not significantly different between two groups.
This study revealed a significantly less intraoperative or postoperative complications and morbidity in coblation tonsillectomy in comparison with traditional method. Coblation was associated with less pain and quick return to normal diet and daily activity. These findings addressed coblation tonsillectomy as an advanced method.
低温等离子体扁桃体切除术是一种新的手术技术，需要进一步研究以证明其作为一种合适的标准扁桃体切除方法的可行性。本研究从优点和并发症方面比较低温等离子体扁桃体切除术和传统扁桃体切除技术。
在一项前瞻性双盲随机对照试验中，收集并比较了两组患者（每组47例）的手术时间、术中出血量、术后疼痛、恢复正常饮食和活动所需时间以及术后出血情况。
我们发现两组在手术时间（p < 0.05）、术中出血量（p < 0.05）、术后疼痛（p < 0.001）、恢复正常饮食所需时间（p < 0.001）和恢复正常活动所需时间（p < 0.001）方面存在统计学显著差异。然而，两组术后出血情况（p > 0.5）无显著差异。
本研究表明，与传统方法相比，低温等离子体扁桃体切除术的术中或术后并发症及发病率显著降低。低温等离子体扁桃体切除术疼痛较轻，能更快恢复正常饮食和日常活动。这些发现表明低温等离子体扁桃体切除术是一种先进的方法。
