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电切扁桃体切除术与钝性剥离扁桃体切除术:838例研究(207例随机试验及631例非随机前瞻性研究)

[Tonsillectomy by electrical dissection versus blunt dissection: a study of 838 cases (Randomized trial of 207 cases and non-randomized prospective study of 631 cases].

作者信息

Esteban F, Soldado L, Delgado M, Blanco A, Solanellas J

机构信息

Servicio de ORL, Hospital Universitario Virgen de Valme, Sevilla.

出版信息

Acta Otorrinolaringol Esp. 1998 Oct;49(7):541-7.

PMID:9866220
Abstract

Tonsillectomy is one of the most common operations performed in the world and various techniques and instruments have evolved for this purpose. We report the results of two prospective studies: in the first study, blunt dissection was compared with electrodissection tonsillectomy (207 cases), and in the second study, 631 patients had their tonsils removed using only the electrodissection technique. Although electrodissection tonsillectomy is not common in Spain, in our experience it is simple, reliable and easy to learn. Its advantages include minimal bleeding, shorter operating time, and less postoperative hemorrhage. The postoperative morbidity is similar to that of blunt dissection.

摘要

扁桃体切除术是世界上最常见的手术之一,为此已经研发出了各种技术和器械。我们报告两项前瞻性研究的结果:在第一项研究中,将钝性剥离术与电刀扁桃体切除术进行了比较(207例),在第二项研究中,631例患者仅采用电刀技术切除扁桃体。尽管电刀扁桃体切除术在西班牙并不常见,但根据我们的经验,它操作简单、可靠且易于学习。其优点包括出血极少、手术时间短以及术后出血少。术后发病率与钝性剥离术相似。

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