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哈里亚纳邦一家三级护理医院儿科常规冷刀扁桃体切除术与激光扁桃体切除术结果的比较分析

A Comparative Analysis of Outcomes of Conventional Cold Dissection Versus Laser Tonsillectomy in Pediatric Cases in a Tertiary Care Hospital in Haryana.

作者信息

Kumar Amit, Kumar Surender, Krishnan Anand, Verma Manish, Garg Uma, Sharma Naveen

机构信息

Department of ENT & HNS, BPS GMC (W), Khanpur Kalan, Sonepat, Haryana India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5311-5318. doi: 10.1007/s12070-020-02301-1. Epub 2021 Jan 7.

DOI:10.1007/s12070-020-02301-1
PMID:36742591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9895485/
Abstract

Tonsillectomy is one of the commonest ENT procedures done in paediatric population, the technique of which has evolved over years to decrease the morbidity associated with the surgery. This prospective randomized comparative study is done to evaluate the efficacy of two different techniques of this surgery, conventional cold dissection and laser tonsillectomy based on operative time, blood loss, post-operative pain and occurrence of secondary complications. The study was done in 68 patients of paediatric age group, 34 in each group underwent cold dissection and laser tonsillectomy. Operative time and bleeding were significantly low for laser group. Pain score was comparable in early post-operatives days, but was high towards the end of first week. Our study reported only one incidence of complication in the form of a secondary bleeding.

摘要

扁桃体切除术是儿科人群中最常见的耳鼻喉科手术之一,多年来其技术不断发展,以降低与该手术相关的发病率。本前瞻性随机对照研究旨在基于手术时间、出血量、术后疼痛及继发并发症的发生情况,评估该手术两种不同技术(传统冷剥离术和激光扁桃体切除术)的疗效。该研究纳入了68例儿科年龄组患者,每组34例,分别接受冷剥离术和激光扁桃体切除术。激光组的手术时间和出血量显著较低。术后早期疼痛评分相当,但在第一周结束时较高。我们的研究仅报告了1例继发出血形式的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/be44059d0a54/12070_2020_2301_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/b0aff1abf12c/12070_2020_2301_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/7533cce9b18c/12070_2020_2301_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/c047efe1a502/12070_2020_2301_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/be44059d0a54/12070_2020_2301_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/b0aff1abf12c/12070_2020_2301_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/7533cce9b18c/12070_2020_2301_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/c047efe1a502/12070_2020_2301_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e3f/9895485/be44059d0a54/12070_2020_2301_Fig4_HTML.jpg

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