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Gry H E S Skaaraas¹, Stein H G Nordahl², Yngve M Jacobsen³

¹Department of Otolaryngology-Head and Neck Surgery, Sykehuset Østfold Kalnes, Grålum, Norway.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

|March 3, 2026

概括

二氧化碳 (CO2) 激光囊内桃体切除术 (TT) 与冷钢桃体切除术 (TE) 相比,短期问题较少. 然而,冷钢TE提供了更好的长期缓解症状,使得患者的选择对激光TT至关重要.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
手术技巧手术技巧
患者的治疗结果.

背景情况:

桃体切除术是各种桃体疾病的常见手术.
使用二氧化碳 (CO2) 激光进行囊内桃体切除术 (TT) 是传统冷钢桃体切除术 (TE) 的替代方案.
这些技术之间的短期并发症和长期结果的比较数据对于临床决策至关重要.

研究的目的:

为了比较选择标准,30天的并发症和二氧化碳激光囊内桃体切除术 (TT) 和传统的冷钢桃体切除术 (TE) 之间的6个月的结果.

主要方法:

这是一项回顾性观察性研究,分析了挪威桃体外科注册表 (NTSR) 的数据.
包括2017年1月1日至2023年6月30日期间接受桃体手术的所有成年患者 (≥16岁).
通过外科医生和患者问卷在基线,30天和手术后6个月收集的数据.

主要成果:

与冷钢TE相比,激光TT显示术后出血明显减少,与疼痛相关的医疗保健接触也减少.
冷钢TE导致6个月后更高的症状解决率.
男人和患有复发性/慢性桃体炎的患者有更高的出血风险;女性更频繁地寻求疼痛帮助,并且更有可能报告持续的症状.

结论:

二氧化碳激光TT与较少的短期并发症相关,但持久症状的发生率高于冷钢TE.
在这项研究中,冷钢TE显示出明显更好的长期结果.
精心选择患者对于优化激光TT的结果至关重要.

关键词:

激光激光激光激光激光局部麻醉局部麻醉进行桃体切除术 (tonsillectomy).桃体切除术 (tonsillotomy) 是一个切除术.

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