Zhou Xuanchen, Xu Anting, Zhen Xiaoyue, Gao Kun, Cui Zhaoyang, Yue Zhiyong, Han Jie
Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
Department of Otorhinolaryngology and Head and Neck Surgery, The Second Hospital of Shandong University, Jinan, China.
J Int Med Res. 2019 Oct;47(10):4734-4742. doi: 10.1177/0300060519867822. Epub 2019 Aug 28.
This study was performed to compare the intraoperative and postoperative courses of coblation tonsillectomy and coblation tonsillectomy with ties in adults.
All patients who underwent tonsillectomy from July 2012 to September 2016 were retrospectively reviewed. Intraoperative and postoperative bleeding, pain, and return to normal food intake were compared between patients who underwent coblation tonsillectomy and those who underwent coblation tonsillectomy with ties.
Of 515 patients, 300 (58.3%) underwent coblation tonsillectomy and 215 (41.7%) underwent coblation tonsillectomy with ties. Twenty-five (4.9%) patients developed postoperative hemorrhage, 22 (88.0%) of whom had undergone coblation tonsillectomy and 3 (12.0%) of whom had undergone coblation tonsillectomy with ties. Patients who underwent coblation tonsillectomy reported less pain than those who underwent coblation tonsillectomy with ties. Patients who underwent coblation tonsillectomy with ties resumed a normal diet significantly later than those who underwent coblation tonsillectomy (10.0 ± 3.2 vs. 8.2 ± 1.9 days, respectively).
Coblation tonsillectomy is associated with less intraoperative bleeding, a shorter surgery time, less postoperative pain, and fewer days to recovery of a normal diet than is coblation tonsillectomy with ties. However, coblation tonsillectomy with ties is associated with remarkably reduced postoperative hemorrhage.
本研究旨在比较成人低温等离子扁桃体切除术与低温等离子扁桃体切除术联合结扎术的术中及术后过程。
回顾性分析2012年7月至2016年9月期间所有接受扁桃体切除术的患者。比较接受低温等离子扁桃体切除术的患者与接受低温等离子扁桃体切除术联合结扎术的患者的术中及术后出血情况、疼痛程度和恢复正常饮食的时间。
515例患者中，300例（58.3%）接受了低温等离子扁桃体切除术，215例（41.7%）接受了低温等离子扁桃体切除术联合结扎术。25例（4.9%）患者发生术后出血，其中22例（88.0%）接受了低温等离子扁桃体切除术，3例（12.0%）接受了低温等离子扁桃体切除术联合结扎术。接受低温等离子扁桃体切除术的患者报告的疼痛程度低于接受低温等离子扁桃体切除术联合结扎术的患者。接受低温等离子扁桃体切除术联合结扎术的患者恢复正常饮食的时间明显晚于接受低温等离子扁桃体切除术的患者（分别为10.0±3.2天和8.2±1.9天）。
与低温等离子扁桃体切除术联合结扎术相比，低温等离子扁桃体切除术术中出血更少、手术时间更短、术后疼痛更轻、恢复正常饮食的天数更少。然而，低温等离子扁桃体切除术联合结扎术可显著减少术后出血。
