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囊内桃体切除术和全桃体切除术中的外科呼吸道并发症:有没有区别?
Shraddha Mukerji1, Joshua Bedwell1, Ava Berrier2
1Department of Otolaryngology, Division of Pediatric Otolaryngology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, 77030, USA.
International journal of pediatric otorhinolaryngology
|January 19, 2025
概括
这项研究发现,在患有睡眠呼吸障碍的儿童中,囊内桃体切除术和全桃体切除术之间,经手术后呼吸道并发症没有显著差异. 这两种手术方法对于呼吸系统的结果同样安全.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 睡眠呼吸障碍 (SDB) 和阻塞性睡眠呼吸暂停 (OSA) 在儿童中很常见.
- 桃体切除术是儿科SDB/OSA的主要手术干预.
- 有两种主要的桃体切除术技术:囊内切除术和全桃体切除术.
研究的目的:
- 为了比较儿科患者的囊内和全桃体切除术之间的术前呼吸道并发症的发生率.
- 评估每种桃体切除术技术的安全性,以管理SDB和OSA.
主要方法:
- 追溯队列研究,包括为SDB或OSA进行桃体切除术的儿童.
- 从2015年11月到2020年7月收集的数据.
- 在囊内和全桃体切除组之间比较主要和轻微的呼吸道并发症,并进行匹配和不匹配的分析.
主要成果:
- 总共有2818名患者被纳入 (2408名总桃体切除术,410名囊内桃体切除术).
- 在两个手术技术之间,在不匹配或匹配的队列中,没有观察到主要或轻微的呼吸道并发症的统计学上显著差异.
- 诸如种族 (黑人或非裔美国人),反应性呼吸道疾病和上呼吸道感染等因素与未匹配的队列中的并发症增加有关.
结论:
- 囊内桃体切除术和全桃体切除术在患有SDB或OSA的儿科患者中,在外科期间呼吸道并发症方面表现出相似的安全性.
- 在这些手术中,手术技术不是呼吸道并发症的重要预测因素.
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