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德国桃体炎指南对患有重复性急性桃体炎的患者桃体手术的适用性的影响:基于人口的研究
Valerie Betz1, Daniel Boeger2, Jens Buentzel3
1Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany.
Scientific reports
|October 17, 2023
概括
严格的德国指导方针降低了桃体外科手术的频率复发性急性桃体炎 (RAT). 然而,接受手术的患者有更多的抗生素治疗桃体炎发作 (T12),这表明转向对更严重的病例进行手术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 讨论了复发性急性桃体炎 (RAT) 管理和桃体手术的指示.
- 2015年德国的指导方针为桃体手术引入了更严格的标准.
- 这些更严格的指导方针对外科诊断政策的影响尚不清楚.
研究的目的:
- 根据2015年德国指南,分析桃体手术指示和患者特征的变化.
- 评估更严格的指导方针对手术率和桃体切除术与桃体切除术患者选择的影响.
主要方法:
- 对1398名因RAT而接受桃体手术的患者进行了以人口为基础的回顾性研究.
- 从2011年,2015年和2019年都灵的医院收集的数据.
- 单变量和多变量统计分析,以评估患者人口结构的变化,桃体炎发作 (T12) 和手术程序.
主要成果:
- 桃体手术率显著下降,从2011年的2856/100,000下降到2019年的11.60/100,000.
- 患有≥6次抗生素治疗桃体炎发作 (T12) 的患者比例大幅增加,从2011年的14.1%增加到2019年的35.9%.
- 接受手术的患者年龄增加,桃体切除仍然是主要的手术技术 (98%).
结论:
- 更严格的指导方针导致RAT.的总体桃体手术率降低.
- 这些指导方针导致了更严重的RAT患者接受手术的比例更高.
- 桃体切除术仍然是主要的手术干预,桃体切除术很少进行.
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