成年人扁桃体切除术三种手术方式的临床比较

doi:10.6040/j.issn.1673-3770.0.2016.401

Abstract

Abstract: Objective To compare and analyze the clinical application value of three surgical methods in adult patients undergoing tonsillectomy. Methods Ninety patients who received tonsillectomy were divided into coblation tonsillectomy(coblation group, n=30), electrocautery tonsillectomy(electrocautery group, n=30), and conventional tonsillectomy(conventional group, n=30). The duration of the entire operation, amount of intraoperative and postoperative bleeding, postoperative sore throat assessed using a visual analogue scale(VAS), and hospital costs were all recorded in three groups. Results Significant difference was shown among three groups by comparison to the operation time, amount of blood loss and the VAS scores of postoperative pain 1-4 d after surgery(P<0.001), in which the above indexes of coblation group and electrocautery group were all superior to those of conventional group(P<0.001), but there was no statistical significance between coblation group and electrocautery group(P>0.05). One patient encountered primary hemorrhage after surgery in conventional group, whereas no postoperative hemorrhage in coblation group and electrocautery group. There was no statistical significance among three groups by comparison to the nursing and examination/treatment expenses as well as postoperative charges for medicine(P>0.05). The total hospital cost in electrocautery group and conventional group was obviously lower than that in coblation group(P<0.001), but no significant difference was shown between electrocautery group and conventional group(P>0.05). Conclusion Each of the three surgical methods in adult tonsillectomy has its own advantages and disadvantages. In the clinical practice, the most appropriate surgical method should be selected so as to achieve the optimal therapeutic effect based on the disease characteristics, willingness and economic capability of patients, technical level of surgeons and medical instruments.

Key words: Tonsillectomy, Ablation techniques, Hemorrhage, Postoperative pain, Hospital costs

CLC Number:

R766.9

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.

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Comparison of three surgical methods in adult patients undergoing tonsillectomy.

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