SO SÁNH KẾT QUẢ ĐIỀU TRỊ CỦA PHẪU THUẬT CẮT AMIDAN BẰNG DAO PLASMA VỚI CẮT AMIDAN KINH ĐIỂN TẠI BỆNH VIỆN TAI MŨI HỌNG THÀNH PHỐ HỒ CHÍ MINH NĂM 2020

Abstract

Objective: Compare the treatment results of Plasma knife tonsillectomy with classical tonsillectomy at Ho Chi Minh City Hospital in 2020 by descriptive cross-sectional method. Methods: Crossectional study with 100 patients with plasma knife tonsillectomy and 36 patients with classic tonsillectomy.  Result: The Plasma group had an average surgical time shortened by nearly 7 minutes (reduced by 31.6%), the median blood loss was 5ml in the plasma knife surgery group, nearly 5 times less than the classic tonsillectomy, recorded 0/100 patients in the tonsillectomy group bleeding within 24 hours, compared with 4/36 patients with classic tonsillectomy with the difference in the two groups was statistically significant (p<0.001). The level of postoperative pain in the tonsillectomy group with plasma was 19.98%, 35.47% and 60% lower, respectively, on days 1, 5 and 12 after surgery than in the classic group (with p<0.001). The average number of days patients returned to normal work/school was after 7.19 days in the plasma surgery group, 1 day lower (p<0.001), the average number of days after eating and drinking stopped pain after 8 days. .95 days in the plasma surgery group, 1.59 days faster recovery in the classical surgery group (p<0.05). Conclusion and recommendations: The hospital needs to inform patients about the treatment results of different methods through seminars, scientific reports and the hospital's media: website, facebook, Fanpage