Monopole Electrocautery With Diffrernt Mode Tonsillectomy In Children

OBJECTIVE:By comparing children’s tonsillectomy with monopole electrocautery electro section mode(electrosection) with monopole electrocautery coagulation mode(coagulation),to investigate the advantages and disadvantages and rationality of different modes.METHOD:Twenty children patients treated with tonsillectomy of both sides were decided randomly to use electrosection for one side of the tonsils,coagulation for the other side.The blood loss during operation,the operation time, the exposure of tonsillar fossa wounds,the degree of pain, albuginea growth and complications ect were recorded.And then analyse these above indexes.RESULT:Twenty sides of the coagulation were all completed successfully.Only3sides (15%) were completed successfully for twenty sides of the electrosection,other seventeen sides of the electrosection were unable to continue due to frequent bleeding,they had to be completed by coagulation in the later stages(referred to as mixed).The removaling time,the hemostaticing time,the total time and the blood loss during operation of coagulation were5.02±1.79min、1.30±1.23min、6.32±2.43min、2.63±2.59ml.The removaling time,the hemostaticing time,the total time and the blood loss during operation of electrosection were11.17±3.26min、4.30±1.21min、15.47±4.10min、11.67±5.20ml.The removaling time,the hemostaticing time,the total time and the blood loss during operation of mixed were9.18±2.51min、4.38±3.76min13.37±4.39min、12.13±6.04ml.Coagulation compared to electrosection,the corresponding P were0.00、0.01、0.00、0.01,all of the above indicators of differences were statistically significant.Coagulation is superior to electrosection.Coagulation compared to mixed,the corresponding P were all0.00.Coagulation is superior to mixed.Electrosection compared to mixed,thecorresponding P were0.50、0.31、0.54、0.60.The two methods showed no significant difference in all of these indicators.Nodifference between the rate of the exposure of muscle fibers in three methods.Muscle fiber damage of mixed was more serious than coagulation,P=0.02. Albuginea growth is quite of three methods. Sore throat were Obvious in mixed.CONCLUSION:The amount of bleeding of electrosection was large,operation efficiency was low,it is difficult to separately complete tonsillectomy in children,mixed can be done in tonsillectomy,but the weak point was similar to electrosection. Coagulation have a smaller amount of bleeding and shorter operative time of advantages,did not increase post-operative adverse events. Monopolar electrocautery coagulation is safe and efficient for tonsillectomy in children, low-power coagulation mode is a more reasonable model.