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桃体切除术后的术后出血 - - 一项针对28254名患者的风险因素研究
Ingvild Engesæter1, Vegard Bugten2,3,4, Siri Wennberg3
1Department of Otorhinolaryngology, Haukeland University Hospital, Bergen, Norway.
与热技术相比,冷桃体切除技术显著减少了术后出血. 采用冷加冷方法可以改善手术结果,降低并发症风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 手术后出血是桃体切除术后的一个严重并发症.
- 关于手术技术的临床实践在全国范围内有所不同,尽管有更高的出血风险,但经常使用热技术.
研究的目的:
- 为了研究桃体切除术后的术后出血率.
- 分析出血率,患者人口统计和手术/静血技术之间的相关性.
- 使用国家注册数据,比较挪威和瑞典之间的出血率.
主要方法:
- 对28,254例桃体切除术 (2017-2022) 的前性队列研究.
- 患者完成了为期30天的术后问卷.
- 多变量逻辑回归分析了手术技术,静血方法和出血事件.
主要成果:
- 整体术后出血率为7.2%,挪威 (8.1%) 比瑞典 (6.3%) 高.
- 热+热技术显著增加出血风险 (OR 3.64);冷+冷的比率最低.
- 在19-24岁的患者和男性中观察到更高的出血风险.
结论:
- 冷加冷技术显著减少了手术后出血.
- 尽管风险更高,冷加热技术仍然很普遍.
- 越来越多地采用冷加冷技术可以改善桃体手术的结果.
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