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重新考虑为3岁以下的儿童进行部分桃体切除术的例行入院:一项前性研究
Ameen Biadsee1,2,3, Craig Nathanson4, Or Dagan5
1Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, St. Joseph Hospital, Western University, B2-501, 268 Grosvenor Street, London, ON, N6A 4V2, Canada. Ameenbiadsee@gmail.com.
概括
部分桃体切除术 (PT) 对患有睡眠呼吸障碍 (SDB) 或阻塞性睡眠呼吸暂停 (OSA) 的幼儿是安全的. 这项研究发现,在接受PT的3岁以下儿童中,并发症风险较低,类似于年龄较大的儿童.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 睡眠医学 睡眠医学
背景情况:
- 部分桃切除术 (PT) 是儿童睡眠呼吸障碍 (SDB) 和阻塞性睡眠呼吸暂停 (OSA) 的替代治疗方法.
- 目前的指导方针并没有区分PT风险与传统的桃体切除术.
- 接受PT的年幼儿童 (<3岁) 经常因感知更高的并发症风险而接受监视.
研究的目的:
- 评估和比较PT的术后并发症风险在3岁及以下的儿童和年龄较大的儿童.
- 评估PT作为不同儿科年龄组SDB/OSA治疗的安全性和有效性.
主要方法:
- 对92名为SDB/OSA (2018-2020) 接受住院PT和/或腺切除术的儿童进行了回顾性分析.
- 一个特定的协议监测了手术后2,4,6,8和24小时的疼痛,口服,生命体征和并发症.
- 对3岁以下儿童和3岁以上儿童的结果进行比较.
主要成果:
- 在年轻人 (n=35) 和老年人 (n=57) 年龄组之间没有观察到并发症的统计学上显著差异.
- 年轻组有2个并发症,而老组有5个;对任何患者都不需要进行重大干预.
- 关键变量包括疼痛评分,口服摄入量,氧和和尿液输出,在年龄组之间没有显著差异.
结论:
- 门诊部分桃体切除术 (PT) 在儿科患者中显示出并发症的风险较低.
- 年龄不是决定SDB/OSAPT后并发症风险的一个重要因素.
- 这项研究支持目前的PT实践,表明儿童年龄组的安全性概况相似.
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