A prelminary study of the secondary postoperative haemorrhage in pediatric coblation adenotonsillectomy
10.3760/cma.j.issn.1673-0860.2010.05.006
- VernacularTitle:儿童扁桃体腺样体低温等离子手术迟发性出血的初步研究
- Author:
Da-Bo LIU
1
;
Zang-Yu TAN
;
Jian-Wen ZHONG
;
Jian-Bo SHAO
;
Shu-Yao QIU
;
Jing ZHOU
Author Information
1. 广州市妇女儿童医疗中心儿童院区
- Keywords:
Tonsillectomy;
Adenoidectomy;
Postoperative haemorrhage;
Child;
Catheter ablation
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2010;45(5):373-376
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare secondary postoperative haemorrhage rate of coblation with the conventional pediatric adenotonsillectomy. And to analyze possible reasons which cause the secondary bleeding after coblation adenotonsillectomy. Methods A retrospective study was applied to compare the secondary postoperative haemorrhage rate and the bleeding moment between two groups in which 1-14 years old children from April 2005 to September 2009 in Guangzhou Children's Hospital were included. Group A was pediatric patients who had conventional adenoidectomy and/or tonsillectomy ( dissection, without heat damage to the tissue) from April 2005 to July 2006 in Department of Otorhinolaryngology. Group B was pediatric patients who had eoblation adenoidectomy and/or tonsillectomy from April 2008 to September 2009 in Department of Otorhinolaryngology. Results Two of 484 cases in group A had secondary postoperative bleeding, the rate was 0. 4%. One happened 2 days after operation, another after 3 days. Eleven of 502 cases in group B had secondary postoperative bleeding, the rate was 2. 2%. Secondary bleeding happened 2 to 12 days after surgery, median 6.0 days. The secondary postoperative haemorrhage rate of operating by the freshman was 2.6% (10/385), and it was 0.9% (1/117) by the senior. The rate of secondary bleeding was higher in group B than group A (χ2 = 5. 987, P < 0. 05). There was no significant difference of secondary bleeding time in both groups (Mann-Whitney U score was 2.500, P>0.05). Six of 13 cases who had secondary bleeding suffered wound or upper respiratory tract infection. Three of 13 ate inappropriately after the operation. Conclusions Pediatric eoblation adenotonsillectomy is a new method. The most possible reasons of secondary bleeding are poor surgery skills and ill experience. And, infection,inappropriate eating after the operation may be the other reasons of secondary bleeding.
