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对儿童桃体切除术后复发性出血的综述
Kathleen R Billings1,2, Saied Ghadersohi1,2, Andrea J Fawcett3
1Division of Pediatric Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
The Laryngoscope
|December 8, 2025
概括
在儿童中发生桃体切除术后复发性出血 (PTH) 缺乏已确定的危险因素. 对于这种常见的手术并发症,需要进一步研究标准化定义和预测性查协议.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 流血性疾病 流血性疾病
背景情况:
- 桃体切除术是一种常见的儿科手术手术.
- 桃体切除术后出血 (PTH) 是一个已知的并发症.
- 反复出现的PTH发病率和风险因素需要进一步调查.
研究的目的:
- 分析儿童桃体切除术后复发性出血 (PTH) 的发生率和危险因素.
- 绘制现有证据,并识别有关复发性PTH的知识差距.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 包括报告小儿桃体切除病例中初级和复发PTH发生率的研究.
- 从11份手稿中综合的数据详细介绍了229个反复出现的PTH发作.
主要成果:
- 复发的PTH发生在7.1%的初始PTH病例中 (0.33%的所有桃体切除术).
- 在口腔喉发现,初始治疗,桃体切除指示,NSAID使用或手术技术和复发性PTH之间没有明确的关联.
- 在复发性出血定义和结果报告中发现了显著的异质性.
结论:
- 没有确定桃体切除术后复发出血的确切危险因素.
- 主要的研究缺口包括需要标准化定义,严重程度分级和潜在的多中心数据.
- 需要对血液学查方案进行系统的评估,以检测复发性出血.
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