ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT AMIDAN BẰNG DAO ĐIỆN CAO TẦN ĐƠN CỰC TẠI BỆNH VIỆN ĐA KHOA KHU VỰC CẨM PHẢ, QUẢNG NINH NĂM 2024-2025

Abstract

Objectives: To evaluate the outcomes of tonsillectomy using monopolar high-frequency electrocautery at Cam Pha Regional General Hospital. Subjects and Methods: A prospective, interventional case series study was conducted on 48 patients with chronic tonsillitis indicated for tonsillectomy using monopolar high-frequency electrocautery. The study was performed at Cam Pha Regional General Hospital, Quang Ninh, from September 2024 to June 2025. Results: The mean age was 25.2 ± 14.5 years, with the 26-34 age group accounting for 33.3%. The male-to-female ratio was 1.8/1. The most common symptom upon admission was difficulty in swallowing (85.4%). 97.9% of patients had hypertrophic tonsils, of which Grade III hypertrophy accounted for 57.4%. The main surgical indications were recurrent tonsillitis (97.9%) and snoring (41.7%). The mean operative time was 17.9 ± 5.8 minutes. Mean intraoperative blood loss was 19.5 ± 18.9 ml, with 56.3% of cases having ≤10 ml of blood loss. Pain levels decreased significantly; by the 7th postoperative day, 95.8% of patients reported only mild pain. Healing of the tonsillar fossa progressed well in 100.0% of patients from the second postoperative day. The mean recovery time was 6.7 ± 2.0 days. Children (<15 years old) had a significantly faster recovery time than adults (p<0.05).Conclusion: Tonsillectomy using monopolar high-frequency electrocautery is a safe and effective method, associated with a short operative time, minimal intraoperative blood loss, and rapid recovery. Postoperative pain levels decreased quickly, and tonsillar fossa healing progressed well.