Effects of low-temperature coblation-assisted and traditional dissection tonsillectomy
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摘要:
目的比较分析低温等离子刀扁桃体切除术与传统扁桃体剥离术的疗效。 方法将 80 例慢性扁桃体炎患者随机分为传统扁桃体剥离术（传统手术组）和低温等离子刀扁桃体切除术（低温等离子手术组），并根据年龄段再次分 2 组。分析 4 组在手术时间、术中出血量、术后疼痛时间有无差异。 结果传统手术组与低温等离子手术组在手术时间、术中出血量、术后疼痛时间上差异有统计学意义（P＜0.05）；低温等离子组中低龄组与高龄组手术时间、术中出血量、术后疼痛时间上差异亦有统计学意义（P＜ 0.05）。 结论低温等离子刀扁桃体切除术较传统扁桃体剥离术手术时间短，术中出血少，术后疼痛轻，恢复快，安全性高，尤其适用于儿童患者。 Abstract:ObjectiveTo compare convention dissection with coblation by low-temperature plasma radiofrequency in tonsillectomy intra operation and after operation. MethodsEighty patients were divided into convention dissection group and low-temperature group, each group was divided into two groups by age. Operation time, bleeding volume, postoperative pain time were recorded, and the differences among these 4 groups were analyzed. ResultsCoblation groups had a significant shorter operative time, less bleeding intraoperative, and a better pain sore after operation than the traditional method groups. At the same time, the teenages had a better effect than the elders in coblation group. ConclusionComparing with traditional dissection, coblation by low-temperature plasma is easy to perform with less bleeding intraoperative, shorter opration time, less pain postoperative, coblation by low-temperature plasma in tonsillectomy expectively better in teenages group. It is worthy of popularization and application in children. -
Key words:
- low temperature plasma radiofrequency /
- tonsillectomy /
- coblation
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表 1 儿童组不同手术方法手术时间、出血量及术后疼痛时间比较
传统手术组均数（n=22） 等离子组均数（n=17） t P 手术时间（min） 41.41±8.39 17.82±3.75 10.763 ＜0.001 出血量（mL） 25.45±5.96 9.41±4.29 9.373 ＜0.001 术后疼痛时间（h） 69.82±10.23 48.00±9.49 6.813 ＜0.001 
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表 2 成人组不同手术方法手术时间、出血量及术后疼痛时间比较
传统手术组均数（n=28） 等离子组均数（n=13） t P 手术时间（min） 48.75±8.12 28.08±6.30 8.095 ＜0.001 出血量（mL） 41.96±12.12 20.77±8.62 6.658 ＜0.001 术后疼痛时间（h） 79.71±14.32 62.77±9.99 3.843 ＜0.001
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表 3 等离子手术方法儿童组与成人组手术时间、出血量及术后疼痛时间比较
儿童组均数（n=28） 成人组均数（n=13） t P 手术时间（min） 17.82±3.75 28.08±6.30 5.560 ＜0.001 出血量（mL） 9.41±4.29 20.77±8.62 4.736 ＜0.001 术后疼痛时间（h） 48.00±9.49 62.77±9.99 4.131 ＜0.001
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