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腹腹及其治疗 - - 切口和排水只是桃体切除术的临时手段,还是永久的解决方案?
Manuel Christoph Ketterer1, Maren Maier1, Valentin Burkhardt1
1Department of Otorhinolaryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
切口和排水是围腹的首选治疗方法,提供更低的出血风险和更短的恢复时间. 针吸入或切口显示的复发率很低,这使得它有效地管理这种情况.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术管理的手术管理.
- 传染性疾病 传染性疾病
背景情况:
- 腹腹 (PTA) 管理涉及各种方法,包括针吸收,切口和排水 (I&D) 和桃体切除术.
- 这些治疗方法的长期结果和并发症率需要进一步进行比较分析.
研究的目的:
- 为了比较腹腹的长期管理.
- 为了评估针吸收,切口与排水,和桃体切除有关并发症,并发症率,和复发.
- 介绍迄今为止关于PTA管理的最大研究队列的发现.
主要方法:
- 对2007年至2019年期间接受PTA治疗的成人和儿科患者的回顾性分析.
- 图表审查评估手术治疗,感染率,出血风险,复发,疾病持续时间和生病证明.
- 邮寄问卷和与全科医生/耳鼻科医生联系,以获得长期结果数据.
主要成果:
- 总共分析了819名患者,180名患者接受了针刺或切口治疗,其中37.7%需要随后的桃体切除术.
- 桃体切除术患者 (n=641) 的术后出血率需要干预为11.4%.
- 吸入/切口后的ipsilateral复发率为2.8%;没有观察到 contralateral复发. 双边桃体切除术与反复出现的喉疼痛和工作缺勤有关.
结论:
- 切口和排水是受欢迎的,因为手术后出血风险较低,工作缺勤减少,住院时间更短.
- 双边桃体切除术显示,由于喉炎导致的失业率更高,并且在这个队列中不适用于复发性急性桃体炎.
- 没有桃体切除的排水表明复发率低 (2.8%双侧).
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