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儿科桃切除术和腺切除术后术后并发症的趋势:10年分析

Ogechukwu S Anwaegbu¹, Delaney E S Clark¹, Samsudeen O Iyamah¹

¹John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, TX 77554, USA.

American journal of otolaryngology

|August 2, 2025

概括

在儿童和青少年中,桃体切除术后的出血和疼痛等并发症正在增加,而脱水和呼吸系统问题正在减少. 持续的种族差异在并发症率被观察到超过十年.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
儿科手术儿科手术
公共卫生公共卫生

背景情况:

带有或没有腺切除术的桃体切除术是一种常见的儿科外科手术程序.
了解术后并发症趋势和风险因素对于改善患者的治疗结果至关重要.
不同年龄组,并发症和健康的社会决定因素之间的并发症率变化需要调查.

研究的目的:

评估儿科患者的桃体切除术和/或无腺切除术后手术后并发症的10年发生率.
为了比较幼儿 (0-9岁) 和青少年 (10-17岁) 之间的并发症率.
检查并发症,健康的社会决定因素,种族和性别对这些并发症的影响.

主要方法:

以TrinetX数据库 (2014-2023) 为基础的回顾性队列研究,对197,885名儿科患者 (年龄在0-17岁) 进行了回顾性队列研究.
对30天内5个关键术后结果的分析,按年龄,性别,种族和种族分层.
倾向性得分匹配被用来比较幼儿和青少年队列 (每组n=56,036).

主要成果:

最常见的并发症是疼痛 (3.1%),手术后出血 (2.3%),脱水 (2.1%),感染 (0.26%) 和急性呼吸道并发症 (0.21%).
早期儿童队列显示了与社会经济/心理社会因素 (p=0.013) 和环境烟草烟雾 (p=0.016) 相关的更高风险.
在匹配后,在幼儿和青少年组之间没有发现整体并发症风险的显著差异.

结论:

脱水和急性呼吸困难率有所下降,而术后出血和疼痛率有所增加.
在并发症率方面,人们注意到持续存在的种族差异.
需要进一步研究社会决定因素和特定风险因素的影响.

关键词:

儿科气道的呼吸道儿科的一般医生.儿科儿科儿科

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