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Updated: Jun 14, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
全国关于腹腹治疗和对昆西桃体切除术的态度的调查
Raviv Allon1,2, Elchanan Zloczower1,2, Maxim Chebotaryov2
1Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.
耳鼻喉科医生主要使用切口和排水 (I&D) 来治疗腹腹 (PTA),为复发病例或多次I&D失败后保留昆西桃体切除术 (QT). 对术后风险的担忧限制了QT的主要使用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 深部感染 深部感染
- 手术管理的手术管理.
背景情况:
- 腹腹 (PTA) 是一种常见的深部感染.
- 保守的措施是传统的,但昆西桃体切除术 (QT) 是一种最终的治疗方法.
- 在实践者之间,QT利用是可变的.
研究的目的:
- 调查当前的PTA管理策略.
- 评估耳鼻喉科医生对QT的态度.
- 了解影响治疗决策的因素.
主要方法:
- 匿名问卷分发给耳鼻喉科医生.
- 根据临床情景和患者特征评估治疗偏好.
- 收到108个响应 (30.8%的响应率).
主要成果:
- 切口和排水 (I&D) 是首选的初始 (90.7%) 和随后 (98.1%) 治疗PTA.
- 只有1.9%的受访者认为QT是首要治疗方法.
- 在多次I&D失败 (95.3%在四次尝试后) 或复发的PTA/桃体炎 (15%被认为是QT) 后,QT的采用显著增加.
- 感知到高的术后风险是避免QT的主要原因 (72.2%).
结论:
- 研发是PTA首选的初始管理方式.
- 在失败的I&D或复发性疾病后,QT主要被考虑.
- 仅限于QT的初级使用是由于对外科手术期间风险的担忧.
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