Walsh R M, Kumar B N, Tse A, Jones P W, Wilson P S
Department of Communication and Neuroscience, University of Keele, U.K.
J Laryngol Otol. 1997 Oct;111(10):950-2. doi: 10.1017/s0022215100139040.
It has been postulated that the bacteraemia rate following guillotine tonsillectomy is lower than that following dissection tonsillectomy due to intra-operative compression of tonsillar blood vessels by the guillotine. The aim of this study was to evaluate the incidence of bacteraemia following dissection and guillotine tonsillectomy. Sixty-four patients undergoing elective tonsillectomy for recurrent acute tonsillitis were randomly selected, 32 underwent dissection tonsillectomy and 32 guillotine tonsillectomy. Positive intra-operative blood cultures were obtained in 16 patients (25 per cent), nine (28.1 per cent) of the dissection group and seven (21.8 per cent) of the guillotine group. There was no significant difference between the two methods (Chi-squared test, p = 0.77).
据推测，由于断头台式扁桃体切除术中通过断头台对扁桃体血管进行术中压迫，其菌血症发生率低于剥离式扁桃体切除术。本研究的目的是评估剥离式和断头台式扁桃体切除术后菌血症的发生率。随机选择64例因复发性急性扁桃体炎接受择期扁桃体切除术的患者，32例行剥离式扁桃体切除术，32例行断头台式扁桃体切除术。16例患者（25%）术中血培养呈阳性，其中剥离式扁桃体切除术组9例（28.1%），断头台式扁桃体切除术组7例（21.8%）。两种方法之间无显著差异（卡方检验，p = 0.77）。
