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金激光能量传递对术后腺切除术并发症的影响
Wooyoung Jang1, Cynthia Schwartz2, Jad Zeitouni1
1Texas Tech University Health Sciences Center - School of Medicine, 3601 4th Street, Lubbock, TX, 79430, USA.
International journal of pediatric otorhinolaryngology
|July 26, 2023
概括
在腺切除术和桃体切除术期间,黄金激光的更高的能量传递与术后并发症的增加有关,包括出血和疼痛. 外科医生应该仔细管理能量水平 (kJ) 以获得更好的患者结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术技术 手术技术
- 患者安全 患者安全
背景情况:
- 黄金激光被用于儿科呼吸道手术,如腺切除术和桃体切除术.
- 这些手术后的术后并发症率是一个问题.
研究的目的:
- 调查黄金激光能量传递 (kJ) 和术后并发症之间的关联.
- 评估能量水平对出血,疼痛和再接收等结果的影响.
主要方法:
- 回顾420名接受腺切除术,桃体切除术或腺桃体切除术的患者的回顾性病理表.
- 分析发射的激光能量 (kJ) 与各种术后并发症之间的相关性.
- 在外科医生和住院医生之间比较能量输送模式.
主要成果:
- 在较高的金激光能量 (kJ) 和需要手术内烧伤的大型出血增加之间发现了显著的相关性 (p=0.0311).
- 更高的能量传递与急诊中心访问 (p=0.0131) 和再接收 (p=0.0210) 的增加有关.
- 观察到手术后疼痛得分升高 (p=0.0302),以及护理人员和住院人员之间的能量传递差异 (p<0.0001).
结论:
- 增加的金激光能量 (kJ) 与儿科呼吸道手术的不良术后结果有显著联系.
- 居民往往使用的能源水平高于出席,这一趋势在后来的居住年减少.
- 建议外科医生谨慎管理金激光能量 (kJ),以尽量减少术后并发症.
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