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在儿科桃体切除术中术后出血的比较与桃体切除术
Zofnat Asulin1, Ohad Cohen1, Boaz Forer1
1Department of Otolaryngology and Head and Neck Surgery, Shaare-Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Israel.
International journal of pediatric otorhinolaryngology
|October 10, 2024
概括
儿童桃体切除术对于阻塞性睡眠呼吸暂停比桃体切除术更安全,显示出较低的出血率和较少的再入院. 这项研究强调了桃体切除术作为儿童首选的,不那么侵入性的选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 睡眠医学 睡眠医学
背景情况:
- 桃体手术常见于儿科阻塞性睡眠呼吸暂停 (OSA) 和复发性桃体炎.
- 桃切除术和桃切除术是具有不同结果的手术选择.
研究的目的:
- 为了比较儿科患者的桃体切除术和桃体切除术之间的术后出血发生率和严重程度.
- 评估其他结果,如住院时间和再接收率.
主要方法:
- 从2004年至2011年 (桃体切除术) 和2019年至2022年 (桃体切除术) 的1984名儿科患者 (年龄1-18岁) 的回顾性队列研究.
- 桃体切除术使用冷钢;桃体切除术使用透皮术,保存桃体囊.
- 测量结果:出血发生率/严重程度,手术持续时间,住院,再入院.
主要成果:
- 桃体切除 (48.3%) 的出血率 (3.9%) 比桃体切除 (9.5%) (p < 0.001) 的出血率更低.
- 桃体切除术导致了更高的手术出血控制需求 (3.7%对0.5%),再接收 (11.8%对6.1%),以及血红蛋白下降.
- 高龄和桃体切除术是术后出血的重要危险因素.
结论:
- 与桃体切除术相比,桃体切除术在患有OSA的儿童中与更安全的术后出血概况有关.
- 桃体切除术显示出出血严重程度降低,再入院人数减少.
- 这些发现支持桃体切除术作为儿童OSA的首选手术方法.
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