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舌切除术后的并发症:国家外科质量改善计划 (NSQIP) 数据库的分析
Beatrice R Bacon1, Shiven Sharma2, Francesca Viola3
1Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, USA.
Cureus
|January 1, 2026
概括
这项研究发现,成年人的语言桃体切除术具有低的术后发病率和死亡率风险. 并发症很少出现,糖尿病是导致住院时间较长的一个因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术结果研究研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 舌头桃切除术是一种治疗各种上呼吸道疾病的手术程序.
- 了解术后发病率对于患者管理和改善外科手术质量至关重要.
- 对于接受这种手术的成年人手术后的具体结果,数据有限.
研究的目的:
- 在成年人群体中划分语言桃体切除术后术后并发症的频率和频谱.
- 确定与不良结果相关的患者人口统计和并发症.
- 评估成年人语言桃体切除术的整体安全性.
主要方法:
- 对经过语言桃体切除术的成年患者的回顾性分析 (CPT代码 42870).
- 数据来源于美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库 (2014-2022).
- 评估患者人口统计,并发症,住院时间,再入院,重新手术和并发症;对住院时间进行线性回归分析.
主要成果:
- 包括232名成年患者 (平均年龄51.6岁;女性55.6%).
- 相关疾病包括糖尿病 (12.9%),吸烟 (20.7%),高血压 (32.8%).
- 30天低发病率:0.4%的死亡率,1.3%的肺炎,1.3%的尿路感染,0.9%的再输管,0.4%的败血症休克;1.3%需要重新手术,1.3%重新入院. 糖尿病与逗留时间的延长有关 (p=0.004).
结论:
- 成年人的舌头桃体切除术与显著的术后发病率和死亡率的低发病率有关.
- 该程序在研究的成年人队列中显示出有利的安全概况.
- 糖尿病是语言桃体切除术后长时间住院的预测因素.
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