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目的探讨超声刀扁桃体切除术与低温等离子扁桃体切除术的优缺点、安全性及可行性。方法计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库和Pubmed等数据库中国内外关于超声刀扁桃体切除术与低温等离子扁桃体切除术的随机对照试验。运用Rev Man 5.3软件对两种手术方式在术中、术后指标进行Meta分析。结果共纳入8个随机对照试验,共722例患者。超声刀扁桃体切除术与低温等离子扁桃体切除术相比,术后出血率明显降低[SMD=0.30,95%CI(0.15,0.600.11,0.79),P=0.010 007],而在手术时间、术中出血量、术后白膜开始脱落时间及术后疼痛评分等方面,超声刀组与等离子组差异无统计学意义。结论超声刀扁桃体切除可明显降低患者术后原发或继发出血的概率,改善患者术后的生活质量。
Objective To investigate the advantages and disadvantages, safety and feasibility of ultrasonic knife tonsillectomy and low temperature plasma tonsillectomy. Methods The computer-controlled randomized controlled trials of ultrasound knife tonsillectomy and low-temperature plasma tonsillectomy were retrieved from CNKI, CBM, Wanfang and Pubmed databases. Rev Man 5.3 software was used to perform meta-analysis of intraoperative and postoperative indexes of the two surgical methods. Results A total of 8 RCTs were included in the study, 722 patients in total. Ultrasound knife tonsillectomy compared with low temperature plasma tonsillectomy, postoperative bleeding was significantly reduced [SMD = 0.30,95% CI (0.15,0.600.11,0.79), P = 0.010 007], and in the operation time, surgery In the amount of bleeding, after the onset of white film began to fall off and postoperative pain score, ultrasound knife group and plasma group no significant difference. Conclusion Ultrasound knife tonsillectomy can significantly reduce the probability of postoperative primary or secondary bleeding and improve the postoperative quality of life of patients.