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在一个纵向儿科队列中,腺回生和肥胖
Liliana Arida-Moody1, Daniel R S Habib1, Emma H Neal2
1Vanderbilt University School of Medicine, 1161 21(st) Ave S # D3300, Nashville, TN, 37232, USA.
American journal of otolaryngology
|December 9, 2025
概括
儿童肥胖症增加了修复腺切除术的风险,特别是在年幼的儿童中. 较高的BMI百分位数和初始腺切除术,而不是腺切除术,与重复手术有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 肥胖问题研究研究
背景情况:
- 腺体缩是儿科睡眠呼吸障碍的常见原因.
- 修订腺切除术率强调了需要了解影响手术结果的因素.
- 儿科肥胖和修复腺切除术之间的联系需要进一步调查.
研究的目的:
- 为了确定儿科肥胖症和修订腺切除术的需要之间的关系.
- 确定儿童修复腺切除术的可能性和时间的预测因素.
- 探索并发症对修订腺切除术结果的影响.
主要方法:
- 在2015年1月至2016年1月期间,对461名接受腺切除术的儿科患者进行了回顾性图表审查.
- 对人口统计,手术和临床数据的分析,以及手术后2年的随访.
- 后勤和考克斯回归模型被用来确定与修复腺切除术相关的因素.
主要成果:
- 115名患者 (24.9%) 在初次手术时肥胖;136名患者 (29.5%) 需要修复手术.
- 较高的BMI百分位数 (OR=1.008,p=0.048),年轻的年龄,初始腺切除术和过敏性鼻炎预测的修订.
- 腺切除术和初始手术时的年龄较大与更低的修订风险有关.
结论:
- 增加的BMI百分位是儿科患者修订腺切除术的重要预测因素.
- 研究结果表明,肥胖相关的炎症在腺体缩中可能起作用.
- 个性化手术决策对于患有睡眠呼吸障碍的儿科患者至关重要,考虑到肥胖和并发症.
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