关键词: 阻塞性；扁桃体切除术；手术方法；电凝法；剥离法, 睡眠呼吸暂停

Abstract:

Objective   To compare the efficiency, advantages and disadvantages of monopolar electrocautery and traditional tonsillectomy. Methods   Eighty patients with hypertrophic tonsil, which led to obstructive sleep apnea hypopnea syndrome or chronic tonsillitis, underwent tonsillectomy. Among them, 40 cases were treated with traditional tonsillectomy(group A) and the other 40 cases were treated with monopolar electrocautery (group B). Differences in operation time, blood loss and postoperative pain between the two groups were compared. Result   There were significant differences in operative time and blood loss（P<0.05）, but not in postoperative pain between the two groups. No postoperative bleeding occurred in all the patients. Conclusion   The monopolar electrocautery tonsillectomy is safe for children, and can reduce the  intraoperative blood loss and improve the efficiency of the operation.

Key words: Tonsillectomy, Operation method, Peel off method, Obstructive, Electrocoautery, Sleep Apnea