Alaqeedy Ameer A, Al-Ani Raid M, Rashid Rasheed Ali
Department of Surgery/Otolaryngology, College of Medicine, University of Anbar, Ramadi city, Iraq.
Department of Surgery/Otolaryngology, College of Medicine, Tikrit University, Tikrit city, Iraq.
Iran J Otorhinolaryngol. 2022 Mar;34(121):113-120. doi: 10.22038/IJORL.2021.56901.2961.
The study aimed to compare the intra-individual 2 procedures of tonsillectomy (Coblation and diode laser) concerning the operative time, the amount of blood loss, postoperative pain, and other complications.
A comparative study was conducted at many Private Hospitals, Baghdad, Iraq from February 2019- February 2020. Coblation and diode laser tonsillectomy were performed on the same patient (one for each side) which was blinded to the patients or their caregivers and the surgeon who did the tonsillectomy. A double blinded randomization process of 1 to 1 of these two procedures according to the side involved was performed. Data concerning the age, gender, indications for tonsillectomy, operative time, the amount of the blood loss, post-tonsillectomy pain by VAS scores, and other complications were recorded for each patient.
Out of 62 participants, there were 34 (54.8%) females. The majority were from the age group ≤18 years (n = 54, 87.1%). The operative time and amount of the intraoperative blood loss were significantly lower in the Coblation than a diode laser tonsillectomy. However, the postoperative pain scores in the diode laser were a statistically significant difference less than the Coblation group at the periods 3 hours, 8 hours, 24 hours, and 7 days (P-value < 0.05).
Coblation was better than diode laser because of shorter operative time and less intraoperative blood loss. However, the diode laser technique had lesser postoperative pain at the postoperative periods 3 hours, 8 hours, 24 hours, and 7 days than Coblation.
本研究旨在比较扁桃体切除术的两种个体内手术方法（低温等离子消融术和半导体激光）在手术时间、失血量、术后疼痛及其他并发症方面的差异。
2019年2月至2020年2月在伊拉克巴格达的多家私立医院进行了一项对比研究。对同一患者（每侧各进行一种手术）实施低温等离子消融术和半导体激光扁桃体切除术，患者、其护理人员及实施扁桃体切除术的外科医生均不知情。根据受累侧别，对这两种手术方法进行1:1的双盲随机分配。记录每位患者的年龄、性别、扁桃体切除指征、手术时间、失血量、采用视觉模拟评分法（VAS）评估的扁桃体切除术后疼痛情况及其他并发症。
62名参与者中，女性有34名（54.8%）。大多数患者年龄≤18岁（n = 54，87.1%）。低温等离子消融术的手术时间和术中失血量显著低于半导体激光扁桃体切除术。然而，在术后3小时、8小时、24小时和7天时，半导体激光组的术后疼痛评分在统计学上显著低于低温等离子消融术组（P值<0.05）。
低温等离子消融术优于半导体激光，因其手术时间更短，术中失血量更少。然而，在术后3小时、8小时、24小时和7天时，半导体激光技术引起的术后疼痛比低温等离子消融术轻。
