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桃体切除术与桃体切除术的长期有效性:一项为期12年的随访研究
Julia Virkkunen1, Johanna Nokso-Koivisto2, Anniina J Sakki2
1Department of Otorhinolaryngology, Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. julia.virkkunen@hus.fi.
概括
桃体切除术 (TT) 提供了卓越的长期疗效,与桃体切除术 (TE) 在生活质量和感染率方面相匹配. 这种侵入性较小的手术在12年内提供了可比的结果,并且手术重复率较低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 生活质量研究 研究 生命质量研究
背景情况:
- 桃体切除术 (TE) 是治疗儿科气道阻塞和复发性感染的常见手术.
- 桃体切除术 (TT) 是一种不那么侵入性的替代方法,可以保护桃体组织.
研究的目的:
- 为了比较TT与TE的长期有效性.
- 在12年内评估疾病特异性生活质量 (QOL),睡眠呼吸障碍,感染和重新手术率.
主要方法:
- 对接受TT或TE的儿科患者 (16岁以下) 的回顾性研究 (2010-2011).
- 长期跟踪 (中位数为12年) 使用有关桃体问题的问卷和QOL.
- 关于重新访问和重新操作的数据收集.
主要成果:
- 189名患者 (87名TT,102名TE) 获得了反应. 疾病特异性QOL在各组之间是相似的.
- 喉感染和满意度是相似的. 重新运营率为TT的6.9%,为TE的1.0%.
- 在TT时没有观察到桃体感染问题的风险增加.
结论:
- 桃体切除术 (TT) 显示出卓越的长期临床有效性.
- 与TE相比,TT使用一种不那么侵入性的方法实现了与TE相等的疾病特异性QOL.
- TT是一种安全有效的TE替代品,并发症风险低.
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