Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy
Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy
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DOI：
10.1017/s0022215119000227
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发表时间：
2019-04-01
影响因子：
1.7
通讯作者：
Desarda, K.
中科院分区：
文献类型：
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作者：
Bidaye, R.;Vaid, N.;Desarda, K.
目的比较常规冷刮腺样体切除术与内镜辅助消融腺样体切除术在手术时间、初次出血量、术后残留组织及术后疼痛等方面的差异。方法本前瞻性非随机研究纳入60例5-12岁患者。一组行常规冷刮腺样体切除术，另一组行内镜辅助消融腺样体切除术，每组30例。结果内镜辅助消融腺样体切除术的平均手术时间明显延长。常规冷刮腺样体切除术的平均失血量为44.33 ml，内镜辅助消融腺样体切除术的平均失血量为32.47 ml。内镜辅助消融腺样体切除术的疼痛等级明显较低。40%接受常规冷刮腺样体切除术的患者术后有腺样体组织，而内镜辅助消融腺样体切除术患者术后完全没有腺样体组织。结论消融腺样体切除术在出血量减少、术后无残留组织、术后第1天疼痛程度较常规腺样体切除术有明显优势。
ObjectiveTo compare conventional cold curettage adenoidectomy with endoscopic assisted coblation adenoidectomy in terms of operative time, primary blood loss, post-operative residual tissue and post-operative pain.MethodsThis prospective non-randomised study was carried out on 60 patients aged 5-12 years. One group underwent conventional cold curettage adenoidectomy and the other underwent endoscopic assisted coblation adenoidectomy, with 30 patients per group.ResultsMean operation duration was significantly higher for endoscopic assisted coblation adenoidectomy. Mean blood loss was 44.33 ml in conventional cold curettage adenoidectomy and 32.47 ml in endoscopic assisted coblation adenoidectomy. The pain grade was significantly lower in endoscopic assisted coblation adenoidectomy. Forty per cent of patients who underwent conventional cold curettage adenoidectomy had adenoid tissue post-surgery, while it was completely absent in endoscopic assisted coblation adenoidectomy patients.ConclusionCoblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of reduced blood loss, no post-operative residual tissue and lower pain grade on day 1 after surgery.