Effect Of Low Temperature Plasma Tonsillectomypostoperative Bleeding

ObjectiveBy analyzing the difference of hemorrhage of low-temperatureplasma and the traditional methods of tonsillectomy and adenoidectomysurgery, to investigate the low-temperature plasma operation advantage,and to provide clinical basis for the prevention of postoperative bleeding.Materials and MethodsRetrospective analysis of2008January to2013December in theDepartment of Otolaryngology, Jilin University second hospital,diagnosed as OSAHS or chronic tonsillitis in children who underwenttonsillectomy and (or) of800cases of children with adenoid bodyresection operation of medical records. The two groups were collectedclinical data (age, gender), medical history (blood disease history,whether there are complications of chronic tonsillitis--myocarditis,nephritis, whether with sinusitis, bronchitis and so on), operation mode(the traditional tonsil guillotine, curettage of adenoids; low temperatureplasma double tonsillectomy, adenoidectomy body radiofrequencyablation), postoperative bleeding (including hemorrhage, bleeding type,the degree of the clinical data of all); statistical analyses were performedusing SPSS19software system assist.ResultsA total of800cases of tonsillectomy or adenoidectomy (and) wereincluded in this study. In this study, a total of400patients underwenttraditional operation, combined with adenoid curettage in367cases.Tonsillar hemorrhage after operation in26cases, accounting for6.5%in the traditional group; adenoidectomy and postoperative hemorrhage in8cases, accounting for2.2%in the traditional group. Low temperatureplasma group400cases, with379cases of adenoid ablation. The posttonsillectomy hemorrhage in15cases, accounting for the lowtemperature plasma group3.7%; adenoidectomy and postoperativehemorrhage in1cases, accounting for the low temperature plasma group0.3%. Statistical significance. The two groups had nstatisticallysignificant difference in the traditional group bleeding time,postoperative hemorrhage in26cases,17cases had primary hemorrhage,9cases of secondary hemorrhage; plasma group and postoperativehemorrhage in15cases, primary hemorrhage in4cases,11cases ofsecondary hemorrhage. Comparison of difference (χ2=7.45, P＜0.05).Two groups of postoperative bleeding site by chi square test, the degreeof hemorrhage confirmed by Wilcoxon rank sum test, P>0.05, have nosignificant difference, but the two groups after tonsillectomy bleedingoccurs most often in tonsil. Comparison of the degree of bleeding aftertonsillectomy group two, low temperature plasma tonsils than traditionalsurgery bleeding to a lesser degree (χ2=0.536, P <0.01).Conclusion1,The low temperature plasma tonsillectomy and adenoidectomyradiofrequency ablation rate of hemorrhage and traditional surgery,reduce the rate of bleeding, bleeding for more secondary hemorrhage, inadenoid operation advantage is very significant.2, From the degree ofpostoperative hemorrhage, low-temperature plasma for tonsillectomy andadenoidectomy with respect to traditional surgery indexing is light,postoperative bleeding on children harm light.3, This study shows that,after tonsillectomy tonsillar pole hemorrhage bleeding site in the highest proportion, its main and triangular fold of abundant blood supply, sosurgery should be retained, carefully check the hemostasis. In addition,the pseudo membrane poor growth, postoperative recurrent fever,mycoplasma and Chlamydia infection, postoperative not strictly intosemi liquid food are the factors influencing blood plasma aftertonsillectomy were symptomatic, prevention.