Website được thiết kế tối ưu cho thành viên chính thức. Hãy Đăng nhập hoặc Đăng ký để truy cập đầy đủ nội dung và chức năng. Nội dung bạn cần không thấy trên website, có thể do bạn chưa đăng nhập. Nếu là thành viên của website, bạn cũng có thể yêu cầu trong nhóm Zalo "NCKH Members" các nội dung bạn quan tâm.

So sánh cắt amidan bằng coblation và phương pháp bóc tách kinh điển

nckh
Thông tin nghiên cứu
Loại tài liệu
Bài báo trên tạp chí khoa học (Journal Article)
Tiêu đề
So sánh cắt amidan bằng coblation và phương pháp bóc tách kinh điển
Tác giả
Trần Anh Tuấn
Năm xuất bản
2015
Số tạp chí
2
Trang bắt đầu
23-33
ISSN
1859-3704
Abstract

Tonsillectomied by coblation have many advancements such as bipolar probe systems, cool probes (Plasma Wand), a low temperature molecular disintegration. Objective: to assess the morbidity and efficacy of radiofrequency thermal ablation tonsillectomied (Coblation) in comparison with classic dissection method. Study design and setting: Prospective, randomized, controlled clinical study 191 patients were tonsillectomy by dissection and 159 patients by coblator II system. All of them were under general anesthesis. Operative time was recorded as the number of minute from insertion of the mouth gag to removal of the mouth gag. Estimated blood loss was recorded for each patient. After operation, all of patients took antibiotics (Augmentine) and analgesic (Efferalgan). All patients were asked to fill out a postoperative diary. Results: The amount of blood lost during surgery: the coblation average 6,88ml (1-60ml) dissection average 34,31ml (2080ml); Surgery time: coblation average 17.42 minutes (10-45) dissection average 23.97 minutes (15-55); the rate of bleeding early intervention: coblation 1.57 percent (3/191); dissection 1.26 (2/159) ratio late postoperative bleeding intervention: coblation 1.05 percent (2/191); dissection of 1.26 percent (2/159) Median postoperative pain scores: coblation day 1: 3.96, day 2: 3 days 3: 3.43, 4: 2.74, day 5: 2.48, day 6: 2,04, day 7: 1.82. day 1 5.07 dissection, day 2: 4.51, day 3: 4.35, 4: 3.74, day 5: 3.38, day 6: 3.05, day 7: 2.84. Time back to eating normally: coblation 6.59 days (3-17), dissection 8.43 (4-15); Time to return to normal: 6.23 coblation (1-12), dissection 8.26. Conclusion: tonsillectomy by Coblation is a safety and effect method with time of surgery is short, decrease in blood lost, less pain after operation, faster healing and reduced postoperative care.