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伴随性疾病和并发症在成年人中 腹腹 桃体切除术患者
Erin M Gawel1, Alexandra F Corbin1, Gaayathri Varavenkataraman2
1Jacobs School Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States.
International archives of otorhinolaryngology
|October 20, 2025
概括
昆西桃体切除术用于腹腹 (PTA) 涉及更多患者的并发症和罕见并发症,而不是桃体切除术用于复发性桃体炎 (RT). 然而,这种程序仍然是一个安全的治疗选择,没有增加出血风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 传染病管理 传染病管理
背景情况:
- 桃体切除术是复发性桃体炎 (RT) 的标准,但对于腹腹 (PTA) 不太常见.
- 腹腹通常是通过排水来管理的,昆西桃体切除术是为特定情况下保留的.
研究的目的:
- 为了比较PTA的昆西桃体切除术与RT的桃体切除术的临床特征和术后结果.
- 评估昆西桃体切除术在活跃感染的情况下的安全性和有效性.
主要方法:
- 利用美国外科医生学院NSQIP数据库 (2018-2021) 对成人桃体切除术 (CPT 42826) 使用PTA或RT诊断.
- 比较人口统计,并发病,风险因素,手术时间,停留时间,再接收和重新操作率.
- 采用后勤回归来确定重新接收和重新运营的预测因素.
主要成果:
- 与RT患者 (n=10241) 相比,PTA患者 (n=366) 的吸烟,糖尿病,高血压和手术前败血症的发病率更高.
- 对于PTA的Quinsy桃体切除术导致了更长的手术时间和停留时间.
- 尽管罕见并发症增加 (例如,呼吸机使用,败血症),手术后出血,再入院和重新手术的发生率在各组之间没有显著差异.
结论:
- 为PTA进行昆西桃体切除术的成年人出现了更多的并发症,并经历了更罕见的并发症,可能是由于活跃的感染.
- 昆西桃体切除术是PTA的安全治疗方法,与增加出血风险无关.
- 这些发现支持在选择的PTA病例中继续使用昆西桃体切除术.
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