摘要
目的 比较儿童双侧扁桃体手术中单极电刀凝切与传统剥离切除的优劣。方法选择需行双侧扁桃体切除术的患儿，2014年1～7月24例行传统剥离加双极电凝止血，2015年6～8月24例行单极电刀凝切术，手术均由同一术者完成，记录手术时间、术中出血量、术后贫血、自膜完全脱落时间。结果与剥离绀相比，凝切组手术时问短[（13．4±7．8）minVS．（27．9±11．0）min，t=-5．254，P=0．000]，出血量少[（8．7±9．0）ml VS．（70．2±21．0）ml，t=-13．174，P=0．000]，术后3天贫血少[0例VS．20例（83％），P=0．000]，但白膜脱落时间长[（18．4±1．5）dVS．（15．5±1．5）d，t=6．511，P=0．000]。结论单极电刀凝切手术时间短，出血少，术后无贫血，值得推广。
Objective To compare the advantages and disadvantages between monopole electrocoagulation and conventional tonsillectomy in children. Methods All the patients enrolled in this study had surgical indications of bilateral tonsilleetnmy. Conventional tonsillectomy with bipolar coagulation was performed in 24 patients between January and July 2014 （dissection group） , whereas monopole eleetrocoagulation was periormed in another 24 patients between June and August 2015 （monopole eleetroeoagulation group）. All the surgeries were preformed by the same surgeon. Parameters including operation time, intraoperativc blood loss, postoperative anemia and time of albuginea shedding were compared. Results As compared to dissection group, the monopole eleetrocoagulation group had shorter operation time （ 13.4 ± 7.8） rain vs. （27.9 ± 11.0） min, t = - 5. 254, P = 0. 000J , less intraoperative blood loss [ （8.7 ±9.0） ml vs. （70.2 ±21.0） ml, t = - 13. 174, P =0.000], and less anemia on the third day after surgery I 0 case vs. 20 cases （83%） , P = 0. 000 ] But the time of albuginea shedding in the monopole eleetroeoagulation group was longer than that in the dissection group [（18.4 ±1.5） d vs. （15.5 ± 1.5） d, t =6.511, P=0.000]. Conclusion Monopole electroeoagulation tonsillectomy can shorten the operation duration and reduce intraoperative blood loss, without postoperative anemia, being worthy of clinical promotion.
出处
《中国微创外科杂志》
CSCD
北大核心
2016年第2期158-160,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
扁桃体切除术
凝切术
剥离法
贫血
儿童
Tonsillectomy
Eleetrocoagulation
Dissection
Anemia
Children
