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Updated: Jan 15, 2026

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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
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在儿科患者中发生桃体切除术后的复发性出血
Kathleen R Billings1, Sydney J Sachse2, Saied Ghadersohi1
1Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Otolaryngology-Head and Neck Surgery, Chicago, IL, USA; Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, USA.
International journal of pediatric otorhinolaryngology
|January 13, 2026
概括
桃体切除术后复发性出血 (R-PTH) 的风险很低,为0.2%,但初始出血的患者患R-PTH的风险是5.4倍. 没有明确的风险因素被确定,尽管R-PTH患者的医疗保健利用率更高.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 手术并发症 手术并发症
- 医疗保健服务研究 医疗服务研究
背景情况:
- 桃体切除术后出血 (PTH) 是桃体切除术后的一个重大风险.
- 复发性PTH (R-PTH) 代表了这些出血事件的子集,对患者管理和医疗保健资源利用有潜在的影响.
研究的目的:
- 分析桃体切除术后复发性出血 (R-PTH) 的发生率.
- 确定与R-PTH相关的潜在风险因素.
- 评估患有R-PTH的患者的医疗保健利用模式.
主要方法:
- 回顾性队列研究,涉及经过桃体切除术的18岁以下患者.
- 在R-PTH患者和单次出血病例患者之间比较风险因素.
- 分析与PTH无关的医疗保健利用指标 (初级保健,耳鼻喉科,远程医疗,ED访问) 的分析.
主要成果:
- 整体PTH发生率为2.0%,其中R-PTH发生在11.0%的病例中 (整体风险为0.2%).
- 患有R-PTH的患者在初始PTH后经历复发出血的相对风险是5.4倍.
- 没有确定R-PTH的统计学上显著的风险因素,尽管R-PTH患者中更高比例的人有慢性桃体炎的病史.
- 患有R-PTH的患者表现出显著更高的医疗保健利用率 (2.5对1.8次,p=0.023).
结论:
- R-PTH的发病率较低,但初始PTH患者的相对风险明显增加.
- 目前的分析没有确定预测R-PTH的特定风险因素.
- 经历R-PTH的患者表现出医疗保健利用率增加,这表明需要有针对性的监测或管理策略.
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