Pang Yufeng, Gong Jingrong, Huang Juan, He Shuangzhu, Zhou Hong
The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China
The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China.
J Int Med Res. 2016 Aug;44(4):923-30. doi: 10.1177/0300060516628705. Epub 2016 May 23.
A retrospective study to compare surgical parameters and postoperative pain in patients undergoing coblation tonsillectomy with or without microscopic guidance.
Data regarding duration of surgery and hospital stay, intraoperative blood loss, incidence of haemorrhage and postoperative pain scores were retrieved from the medical records of adult patients undergoing coblation tonsillectomy under direct vision or with microscopic guidance.
The incidence of secondary haemorrhage (>24 h postoperatively) was significantly lower and the duration of hospital stay was significantly shorter in the microscope group (n = 92) than the direct vision group (n = 76). Pain scores both at rest and while swallowing reached ≤3 (no significant impact on quality-of-life) significantly faster in the microscope group than the direct vision group.
Microscope-assisted coblation tonsillectomy decreases the duration of hospital stay and the incidence of postoperative secondary haemorrhage, and results in an early improvement in postoperative pain scores.
进行一项回顾性研究，比较接受有或无显微镜引导的低温等离子扁桃体切除术患者的手术参数和术后疼痛情况。
从在直视或显微镜引导下接受低温等离子扁桃体切除术的成年患者病历中获取有关手术时长、住院时间、术中失血量、出血发生率及术后疼痛评分的数据。
显微镜组（n = 92）继发性出血（术后>24小时）的发生率显著低于直视组（n = 76），且住院时间显著更短。显微镜组静息及吞咽时的疼痛评分达到≤3（对生活质量无显著影响）的时间显著快于直视组。
显微镜辅助低温等离子扁桃体切除术可缩短住院时间，降低术后继发性出血的发生率，并使术后疼痛评分早日改善。
