Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2011
[Temperature-controlled radiofrequency-assisted endoscopic tonsillectomy and adenoidectomy in children].
Сравнительное исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Zhu Xiaoli, Yang Hua, Chen Xiaowei, Jin Yi, Fan Yue
Аннотация
OBJECTIVE: To compare the outcomes of temperature-controlled radiofrequency-assisted endoscopic tonsillectomy and adenoidectomy (rT + A) and conventional tonsillectomy and adenoidectomy (cT + A) in children.
METHOD: Forty-seven children who were with hypertrophy of both tonsils and adenoid and underwent tonsillectomy and adenoidectomy were retrospectively studied. There are 24 patients underwent rT + A and 23 patients underwent cT+A. Data of surgery time, bleeding volume, duration of postoperative pain and duration of postoperative pseudomembrane were collected and analysed. Hearing and disease-specific quality-of-life questionnaire (OSA-18) were analysed.
RESULT: Surgery times of rT + A are statistically shorter than those of cT + A, bleeding volumes of rT + A are significantly less than those of cT + A. There are no differences of the duration of postoperative pain and duration of pseudomembrane between these two groups. Hearings were increased to normal in all conductive hearing loss patients. OSA-18 scores were declined significantly in rT + A group than cT + A.
CONCLUSION: Temperature-controlled radiofrequency-assisted endoscopic operation can reduce bleeding volume and shorten surgery time without more pain or injury to patients, and the effect is satisfactory.
METHOD: Forty-seven children who were with hypertrophy of both tonsils and adenoid and underwent tonsillectomy and adenoidectomy were retrospectively studied. There are 24 patients underwent rT + A and 23 patients underwent cT+A. Data of surgery time, bleeding volume, duration of postoperative pain and duration of postoperative pseudomembrane were collected and analysed. Hearing and disease-specific quality-of-life questionnaire (OSA-18) were analysed.
RESULT: Surgery times of rT + A are statistically shorter than those of cT + A, bleeding volumes of rT + A are significantly less than those of cT + A. There are no differences of the duration of postoperative pain and duration of pseudomembrane between these two groups. Hearings were increased to normal in all conductive hearing loss patients. OSA-18 scores were declined significantly in rT + A group than cT + A.
CONCLUSION: Temperature-controlled radiofrequency-assisted endoscopic operation can reduce bleeding volume and shorten surgery time without more pain or injury to patients, and the effect is satisfactory.