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在舌头与巴掌桃体切除术中的术后并发症
Chloe Cottone1, Mattie Rosi-Schumacher2, Erin M Gawel1
1Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, U.S.A.
The Laryngoscope
|October 2, 2024
概括
在成人和儿童中,与 palatine tonsillectomy (PT) 相比,舌切除术 (LT) 携带更高的食障碍和住院等并发症风险. 成年人的出血率类似,但在儿童中,LT后的出血率较低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 在某些情况下,舌头桃体切除术 (LT) 是 palatine tonsillectomy (PT) 的替代方案.
- 了解这些程序的比较风险对于临床决策至关重要.
研究的目的:
- 为了比较语言桃体切除术 (LT) 与口腔桃体切除术 (PT) 的术后并发症率.
- 在成人和儿科患者群体中分析这些风险.
主要方法:
- 使用美国TriNetX协作网络进行的回顾性队列研究.
- 通过LT (42870) 和PT (42820,42821,42825,42826) 的CPT代码来识别患者.
- 倾向性得分匹配被用来比较成人和儿科子组在术后14天内的并发症率.
主要成果:
- 与PT相比,接受LT的成年人患食障碍 (OR=2.6),住院 (OR=4.3) 和重症监护室 (OR=6.1) 的几率增加.
- 接受LT的儿科患者也表现出更高的消化不良的几率 (OR=2.4),住院 (OR=8.2) 和ICU入院 (OR=2.7) 与PT相比.
- 成年LT和PT组之间没有发现出血的显著差异;然而,儿科LT的出血率比儿科PT (3.2%) 低 (1.5%).
结论:
- 术后并发症,包括消化不良和需要住院/ICU,在儿科和成人患者中,在语言桃体切除术后比口腔桃体切除术更频繁.
- 虽然在成年人中出血率相似,但在儿科患者中,LT与PT相比显示了术后出血的风险较低.
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