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在NSQIP上的腹腹:指示桃体切除术的安全性
Mattie Rosi-Schumacher1, Ryan Nagy1, Celina Virgen2
1Department of Otolaryngology-Head and Neck Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 1237 Delaware Ave., Buffalo, NY 14209, USA.
用切口和排水 (I&D) 或昆西桃体切除术治疗的儿科腹膜 (PTA) 的手术结果显示了类似的结果. 昆西桃体切除术是一种可行的选择,如果用于复发性桃体炎或PTA.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
背景情况:
- 腹腹 (PTA) 是一个常见的儿科耳鼻喉紧急情况.
- 手术管理通常涉及切割和排水 (I&D),桃体切除术有时同时或晚些时候进行.
研究的目的:
- 为了比较小儿科患者接受I&D和PTA的昆西桃体切除术之间的外科结果.
- 评估这些程序对停留时间,再接收和重新运营率的影响.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划 (NSQIP) 数据库 (2012-2017) 的多中心回顾性研究.
- 包括患有PTA的儿科患者接受I&D或昆西桃体切除术.
- 评估了人口统计,并发症和30天的术后结果.
主要成果:
- 在I&D和昆西桃切除组之间,在停留时间,再接收或返回手术室 (或) 中没有显著差异.
- 年龄较小的儿童 (<5岁) 住院时间较长.
- 女性和青少年 (12-17岁) 更有可能被重新录取.
- 在仅用I&D治疗的1.4%患者中,需要重复I&D.
结论:
- 对于儿科PTA的外科结局是可比的,无论是用I&D还是昆西桃体切除术治疗.
- 昆西桃体切除术是儿童的合适选择,因为桃体炎或PTA的复发需要桃体切除术.
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