【摘要】 目的 比较分析针状电刀凝切术与低温等离子术在儿童扁桃体切除术中的应用效果。方法 2022年4月～2024年4月在我院行扁桃体切除术的50例儿童患者，根据手术方式分为针状电刀凝切术组（25例）和低温等离子术组（25例），对比分析两组患儿围手术期相关指标差异、面部表情疼痛评估法（FPS-R）评估术后每日疼痛程度、术后并发症及住院费用等指标差异。结果 针状电刀凝切术组的手术时间及术中出血量低于对照组，热损伤深度大于低温等离子术组（均P<0.05），而两组术区白膜脱落时间、住院时间及恢复饮食时间均无明显差异（P>0.05）。比较分析2组术后每日疼痛程度，针状电刀凝切术术后6h、1d及2d的FPS-R评分显著优于低温等离子术组（P<0.01），而术后3d、4d、7d及14d的FPS-R评分组间差异则不明显（P>0.05）。2组术后并发症发生率无明显差异（P>0.05），但针状电刀凝切术组住院费用明显低于低温等离子术组（P<0.01）。结论 针状电刀凝切术应用于儿童扁桃体切除，具有手术时间短、术中出血量少、住院费用低及易普及等优势，适合推广应用于基层医院。更多还原

【Abstract】 Objective To observe the application effects of acicular electrosurgical coagulation(AEC) and low temperature plasma ablation(LTPA) on children’s tonsillectomy in a comparative way. Methods Included in this trial was 50 children cases underwent tonsillectomy in our hospital from Apr. 2022 to Apr. 2024, being divided into two groups according to the undergone surgical procedures for each case, i.e. those in the group received AEC(AECG) and those in the group received LTPA(LTPAG), with 25 cases in each. Then, compared between them were the differences in such indicators as associated perioperative indicators, degrees of postoperative local pain as evaluated by Wong-Baker facial expression pain assessment(FPS-R), postoperative complications and hospitalization costs to assaying their themselves advantages and disadvantages of these two procedures in clinical usage. Result The duration of operation and the bleeding quantity during operation of AECG were significantly lower than that of LTPAG(P<0.05), while there was no obviously statistical significance in the differences of duration for albuginea shedding, the length of hospitalization period and the recovery speed for daily diet taking between two groups(P>0.05). For the daily degree of postoperative local pain, cases in AECG showed significantly reduced local painful feeling than those in LTPAG as evaluated by FPS-R at these time points of 6th hour,the 1st d and 2nd d after operation(P<0.05), while no obviously differences on the 3rd, 4th, 7th and 14th following the operation respectively(P>0.05). Moreover, there was no significantly statistical significance in the differences of incidence of postoperative complications(P>0.05), while the hospitalization cost of AECG was markedly lower than that of LTPAG(P<0.05). Conclusion It should be concluded based on this trial that the operating procedure of AEC holds such advantages as short operating duration, less bleeding during operation, low hospitalization cost and easily being put into popularization in grassroots hospitals for children’s tonsillectomy.更多还原