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在儿科三级中心的囊内桃体切除术:在9年的时间里,修复手术的发生率

Rujuta Cameron¹, Adam Haymes¹, Christopher Pepper¹

¹Department of Paediatric ENT, Evelina London Children's Hospital, St Thomas's Hospital, Westminster Bridge Road, London, SE1 7EH, UK.

International journal of pediatric otorhinolaryngology

|May 9, 2024

概括

囊内桃体切除术 (ICT) 对儿童有效,罕见的症状复发需要修复手术. 随着时间的推移,修订率显著下降,特别是在两岁以下的儿童中.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
儿科手术儿科手术

背景情况:

囊内桃体切除术 (ICT) 是一项受欢迎的儿科手术,原因是其快速恢复和低并发症率.
症状重生仍然是ICT的潜在并发症,需要进一步调查.

研究的目的:

为了确定儿科Coblation ICT后修复手术的发生率和风险因素.
来自第三级推中心的大型队列中随着时间的推移分析修订率.

主要方法:

在2013年4月至2022年6月期间接受Coblation ICT的4111名儿科患者 (0-19岁) 的回顾性评估.
分析电子数据库和临床记录,以识别和检查修订案例.
使用奇二测试进行统计分析,以比较修订率.

主要成果:

135名患者 (3.3%) 需要修复手术,主要是因为症状复发.
修订率同比大幅下降,从10.6%降至0.3% (P<0.001).
两岁以下的儿童的修订率明显高于年龄较大的儿童 (P<0.001).

结论:

化ICT具有较低但临床显著的症状复发率,特别是在年幼的儿童中.
随着外科医生的经验和正式培训的增加,修订率下降.
该研究提供了九年来Coblation ICT修订率的真实数据.

关键词:

合电离是指合电离的方法.额外的囊体.囊内体内体内体内体阻塞性睡眠呼吸暂停阻塞性睡眠暂停进行桃体切除术.

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