NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ ĐIỀU TRỊ VIÊM AMIĐAN QUÁ PHÁT TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2023 - 2025

Abstract

Background: Treatment of tonsillitis in children has long been considered a very common problem and it is necessary to establish a solution to the symptoms as well as ensure the health development of children. This is a disease that is very easy to recur many times a year. Chronic tonsillitis in children, if not treated early, will lead to a condition of enlarged tonsils. Tonsillectomy is an inexpensive and effective treatment method that is often chosen by doctors. Objectives: To describe the clinical, evaluation of treatment results and understand  some  factors  related  to postoperative  pain  among  patients undergoing  tonsillectomy  using monopolar electrocautery. Materials and methods: This descriptive cross-sectional, non-controlled clinical trial was conducted on 51 pediatric patients diagnosed with chronic tonsillitis who underwent monopolar electrocautery tonsillectomy at Can Tho Children’s Hospital from 2023 to 2025. Results: The majority of the study subjects were female (60.8%), with the highest proportion in the 6-11 age group (66.7%). Tonsil hypertrophy was classified as grade II in 27.4%, grade III in 60.8%, and grade IV in 11.7%. The primary indication for tonsillectomy was the frequency of inflammation (88.2%). The second postoperative day showed that 84.4% of patients had uniform pseudomembrane adhesion. There aren’t early postoperative bleeding, while late bleeding occurred in 1.9%. Postoperative pain was moderate on day 1 (54.9%), and almost no pain was reported on day 14 (98.1%). Overall postoperative assessment was rated as good in 94.1% of cases. Conclusions: The tonsillectomy method with monopolar electrocautery reduces intraoperative blood loss, accelerates wound healing, significantly decreases postoperative pain, and minimizes postoperative bleeding.