The clinical observation of bipolar electrocoagulation forceps assisted tonsillectomy in primary hospital

doi:10.11958/20252095

Abstract

Abstract:

Objective To explore the clinical efficacy of using bipolar electrocoagulation forceps to assist tonsillectomy in primary hospital. Methods Clinical data of 82 patients who underwent tonsillectomy in Department of Otolaryngology, Gannan Tibetan Autonomous Prefecture People's Hospital from November 2022 to November 2024 were collected and retrospectively analyzed. According to different tonsillectomy methods, patients were randomly divided into the control group (n=40) and the observation group (n=42). Patients in the control group were treated with traditional tonsillectomy, and patients in the observation group were treated with bipolar electrocoagulation forceps assisted tonsillectomy. Data regarding operation duration, intraoperative blood loss, postoperative white membrane shedding time, complications, length of hospital stay and hospitalization costs were collected for both groups. The Visual Analogue Scale (VAS) was employed to assess pharyngeal pain on the postoperative day 1, 3 and 7 following tonsillectomy. Results Compared with the control group, the observation group exhibited a shorter operative duration and reduced intraoperative blood loss, although the time to white membrane detachment was prolonged. The VAS scores on the postoperative day 1, day 3 and day 7 were significantly lower in the observation group (P<0.01). There was no significant difference in length of hospital stay between the two groups. However, the overall hospitalization cost was higher in the observation group (P<0.01). There were no significant differences in the incidence of complications such as secondary hemorrhage, wound infection, or pharyngeal edema between the two groups. Conclusion Bipolar electrocoagulation forceps assisted tonsillectomy has the advantages of short surgical time, less intraoperative bleeding, mild postoperative pain and easy cost bearing. It is suitable for application in primary hospital or economically underdeveloped areas.

Key words: tonsillectomy, hemorrhage, pain, length of stay, bipolar electrocoagulation, primary hospital

CLC Number:

R766.9

Figures/Tables 4

References 22

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组别	n	手术时间/min	出血量/mL	白膜脱落时间/d
对照组	40	38.98±5.10	12.00±2.68	7.23±1.37
观察组	42	28.29±6.06	7.67±2.90	9.05±2.00
t		8.621^＊＊	7.016^＊＊	4.837^＊＊

组别	n	手术时间/min	出血量/mL	白膜脱落时间/d
对照组	40	38.98±5.10	12.00±2.68	7.23±1.37
观察组	42	28.29±6.06	7.67±2.90	9.05±2.00
t		8.621^＊＊	7.016^＊＊	4.837^＊＊

组别	n	术后1 d	术后3 d	术后7 d
对照组	40	6.08±0.94	3.85±0.86	1.88±0.82
观察组	42	4.36±0.78	2.64±0.58	1.14±0.57
t		9.099^＊＊	7.475^＊＊	4.674^＊＊

组别	n	术后1 d	术后3 d	术后7 d
对照组	40	6.08±0.94	3.85±0.86	1.88±0.82
观察组	42	4.36±0.78	2.64±0.58	1.14±0.57
t		9.099^＊＊	7.475^＊＊	4.674^＊＊

组别	n	住院时间/d	住院费用/元
对照组	40	6.53±1.41	4 607.90±273.87
观察组	42	6.57±1.71	5 396.83±306.69
t		0.133	12.265^＊＊