JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (5): 95-100.doi: 10.6040/j.issn.1673-3770.0.2017.278

Previous Articles     Next Articles

A comparative analysis of harmonic scalpel tonsillectomy and coblation tonsillectomy.

ZHANG Jie, CHEN Xuemei, XU Anting   

  1. Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Received:2017-06-22 Online:2017-10-16 Published:2017-10-16

PDF (PC)

577

Abstract: Objective To compare the efficacy, safety, and feasibility of harmonic scalpel and coblation tonsillectomy procedures. Methods A search for randomized controlled trials of harmonic scalpel tonsillectomy and plasma tonsillectomy was carried out in the CNKI, CBM, Wanfang, and Pubmed databases. The retrieved literature was evaluated and RevMan 5.3 software was used for Meta-analysis of the intra- and post-operative findings of the two kinds of surgical techniques. Results A total of 8 studies involving 722 patients were included. Meta-analysis showed that compared to plasma tonsillectomy, harmonic scalpel tonsillectomy had a reduced postoperative bleeding rate ［SMD=0.30, 95%CI(0.15, 0.60), P=0.000 7］. The operation time, intraoperative bleeding, albuginea shedding time after the operation, and postoperative pain score were not significantly different between the two groups. Conclusion Harmonic scalpel tonsillectomy can significantly reduce the postoperative bleeding rate and improve postoperative quality of life.

Key words: Harmonic scalpel, Tonsillectomy, Coblation

CLC Number: 

  • R766.9
[1] Parsons SP, Cordes SR, Comer B. Comparison of posttonsillectomy pain using the ultrasonic scalpel, coblator, and electrocautery[J]. Otolaryngol Head Neck Surg, 2006, 134(1):106-113.
[2] 庞宇峰, 龚静蓉, 黄娟, 等. 成年人显微镜下等离子扁桃体手术与超声刀扁桃体手术的临床对照研究[J]. 浙江临床医学,2017,19(2):260-263.
[3] 张立庆, 杨翠方, 周华群, 等. 低温等离子刀、超声刀及传统方式行扁桃体切除术的比较[J]. 山东大学耳鼻喉眼学报,2016,30(3):56-60. ZHANG Liqing, YANG Cuifang, ZHOU Huaqun, et al. Comparison of coblation,ultrasonic knife and conventional approach in tonsillectomy[J]. J Otolaryngol Ophthalmol Shandong Univ, 2016, 30(3):56-60.
[4] 徐晓丽. 超声刀与低温等离子在改良悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征患者的疗效比较[J]. 中国药物经济学,2016,1(9):139-140.
[5] 王芳, 柴向斌. 超声刀与低温等离子刀行扁桃体切除术的临床观察[J]. 大家健康,2016,10(3):109-110.
[6] 盖永达. 超声刀与低温等离子刀用于改良悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的疗效比较[J]. 中国基层医药,2016,23(10):1534-1537.
[7] 苏跃, 王中亮, 曾珍. 三种手术方式在改良悬雍垂腭咽成形术中的疗效对比[J]. 山东大学耳鼻喉眼学报,2015,29(1):5-7. SU Yue, WANG Zhongliang, ZENG Zhen. Three different operative methods in H-UPPP[J]. J Otolaryngol Ophthalmol Shandong Univ, 2015, 29(1):5-7.
[8] 郭军,谢兴笔,石柳. 超声刀与低温等离子刀在扁桃体切除术中的疗效比较[J]. 西部医学,2015,27(9):1385-1388. GUO Jun, XIE Xingbi, SHI Liu. Ultrasonic and low temperature plasma cutter used in tonsillectomy[J]. Med J West Chin, 2015, 27(9):1385-1388.
[9] 葛艳婷, 顾韵. 扁桃体39例手术治疗分析[J]. 医药与保健,2015,23(10):63-64. GE Yanting, GU Yun. Surgical treatment of 39 cases of tonsil[J]. Med Health Care, 2015, 23(10):63-64.
[10] 王志斌.扁桃体切除术简史[J].中华医史杂志,2003,33(4):239-241. WANG Zhibin. A brief history of tonsillectomy[J]. Chin J Med History, 2003, 33(4):239-241.
[11] 林国庆, 曲哲. 超声刀手术刀工作原理及临床应用[J]. 医疗卫生装备,2008,29(8):108-109.
[12] 花锦超,薛源,徐真桂,等. 超声刀扁桃体切除术临床分析[J]. 基层医学论坛,2012,16(10):1350-1351.
[1] LI Yanzhong, ZHANG Tai. Problems we face in children with obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 1-5.
[2] XU Zhifei, NI Xin. Post-surgery management in children with obstructive sleep apnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 9-13.
[3] QIU Shuyao, LIU Dabo, ZHONG Jianwen, YANG Liqiang. Analysis of coblation complications in children with obstructive sleep apnea-hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 34-37.
[4] HUO Hong, LI Wuyi, WANG Jian, YANG Dahai, JIN Xiaofeng, TIAN Xu, NIU Yanyan.. Treatment of pharyngeal stenosis following uvulopalatopharyngoplasty with coblation. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 58-61.
[5] ZHANG Liqing, SONG Shenghua, WANG Yuan, LIU Xiaojing, DONG Weida, ZHOU Han. Comparison of the efficacy of coblation, ultrasonic knife operation, and conventional tonsillectomy in a 2-year postoperative follow-up. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 67-71.
[6] . Coblation for benign hyperplasia of the tongue base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 83-84.
[7] XU Lei, ZHU Juanfen, CHENG Lei. Comparison of three surgical methods in adult patients undergoing tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 49-52.
[8] WANG Lei, LOU Feng, ZHANG Yuan, ZHAO Xin. Effect of different doses of dexmedetomidine preoperative intranasal medication on the safety in children tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 115-119.
[9] ZHANG Liqing, YANG Cuifang, ZHOU Huaqun, LU Meiping, DONG Weida. Comparison of coblation, ultrasonic knife and conventional approach in tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 56-60.
[10] GONG Mingjie, LIU Kan, ZHANG Lei, YAN Biao, ZOU Jiaping, LI Weizhong. Comparison of the efficacy of three different techniques in tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 70-73.
[11] DONG Shiliang, ZHAN Mingming. Hemostatic effect of preventive suture ligation in tonsillectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 90-91.
[12] HAN Naigang, LI Xiaohong. Coblation unilateral vocal cord transection with arytenoidenctomy in the treatment of bilateral vocal cord paralysis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(3): 59-61.
[13] LI Jun-zheng, GAO Xiang, WU Gai-zhen, CHEN Sha, WANG Jie, TIAN Wen-dong, LI Xiang-ping. Application of harmonic scalpel in children with obstructive sleep apnea and hyponea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 1-4.
[14] SU Yue, WANG Zhong-liang, ZENG Zhen. Three different operative methods in H-UPPP [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 5-7.
[15] ZHOU Jing-chun, KE Zhao-yang, MA Ling-guo, ZHANG Jing-jing, ZHANG Wei, FENG Chun-ying. Coblation and routine excision to treat epiglottic cysts [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 43-46.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd