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

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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

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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
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