Søreide A K, Olofsson J
Ore-nese-halsavdelingen Haukeland Sykehus, Bergen.
Tidsskr Nor Laegeforen. 1999 Apr 20;119(10):1423-7.
Most current studies show that adenotonsillectomies can be performed safely as day case surgery. We wanted to evaluate patient acceptability of ambulatory surgery. A prospective study was undertaken in order to compare (adeno)tonsillectomies performed on an inpatient and outpatient basis. 104 patients underwent day surgery (adeno)tonsillectomy. 88 patients were treated as inpatients, but would have met the selection criteria for ambulatory surgery if an exception had been made in relation to travel distance. Tonsillectomy is an operation with high postoperative morbidity. Our study shows that patients undergoing day case surgery had better sleep, better oral intake and had less pain during the first postoperative night. The majority of the inpatients considered tonsillectomy performed as day case surgery less tolerable. With adequate information and patient selection, our study showed that most patients prefer day surgery. Questioned two weeks postoperatively, 92% of the patients preferred tonsillectomy performed as a day case procedure. Use of day surgery may improve health care efficiency. At the same time, it may improve quality of care for the patients.
目前大多数研究表明，腺样体扁桃体切除术作为日间手术可以安全进行。我们想要评估患者对门诊手术的接受度。开展了一项前瞻性研究，以比较住院和门诊进行的（腺样体）扁桃体切除术。104例患者接受了日间手术（腺样体）扁桃体切除术。88例患者按住院患者治疗，但如果在旅行距离方面有例外情况，他们本可符合门诊手术的选择标准。扁桃体切除术是一种术后发病率较高的手术。我们的研究表明，接受日间手术的患者睡眠更好、口服摄入量更好，且术后第一个晚上疼痛较轻。大多数住院患者认为作为日间手术进行的扁桃体切除术耐受性较差。通过充分的信息告知和患者选择，我们的研究表明大多数患者更喜欢日间手术。术后两周进行询问时，92%的患者更喜欢作为日间手术进行的扁桃体切除术。日间手术的使用可能会提高医疗保健效率。同时，它可能会提高患者的护理质量。
