关键词: 儿童, 腺样体切除术, 低温等离子, 术后出血, 扁桃体切除术

Abstract:

Objective   To investigate the postoperative bleeding of coblation-assisted and traditional operation in children’s tonsillectomy and/or adenoidectomy. Methods   Data of 1597 children with tonsillitis and adenoid hypertrophy, who underwent traditional(804 cases) or coblation-assisted (793 cases) operation between January 1，2007 and December 30，2011, were reviewed．Incidence of hemorrhage, severity and location between the two groups were compared． Results   Postoperative hemorrhage occurred in 25 patients with coblation assisted operation (3.2％) and 19 patients with traditional operation (2.4％) (χ2=3.34， P>0.05). There was no difference in the site (χ2=0.736， P=0.085) or incidence (Z=0.392， P=0．614) . Significant difference was found in the interval of hemorrhage after surgery between the two surgical techniques(χ2=9.45， P<0．01). Conclusion   There is no difference in the postoperative hemorrhage for coblationassisted or traditional tonsillectomy and adenoidectomy in children.

Key words: Children, Adenoidectomy, Coblation, Tonsillectomy, Postoperative hemorrhage