Bhattacharyya N, Kepnes L J, Shapiro J
Division of Otolaryngology, Brigham and Women's Hospital, Boston, MA, USA.
Arch Otolaryngol Head Neck Surg. 2001 Nov;127(11):1347-50. doi: 10.1001/archotol.127.11.1347.
To determine the quality-of-life impact and overall efficacy of adult tonsillectomy for chronic tonsillitis.
Cross-sectional survey analysis of patients at least 1 year after undergoing adult tonsillectomy.
The Glasgow Benefit Inventory was used to quantify the health benefit of tonsillectomy. Data were collected for demographics and antibiotic use, physician visits, and workdays missed due to chronic tonsillitis for the 12 months before and after tonsillectomy.
Sixty-five patients returned completed surveys. Mean age was 27.3 years, and mean follow-up was 42.6 months. The improvements in the total score (+27.1), general health subscore (+34.7), social functioning subscore subscore (+14.4), and physical functioning subscore (+9.5) of the Glasgow Benefit Inventory were each statistically significant (P<.001), indicating a significant health benefit of tonsillectomy. Statistically significant decreases in mean weeks receiving antibiotics (-7.8 weeks), mean physician visits (-5.4), and mean workdays missed (-6.3 days) were noted after tonsillectomy (P<.001).
Adult tonsillectomy provides a significant quality-of-life improvement for patients with chronic tonsillitis. Tonsillectomy also affords decreases in medical resource utilization and missed workdays after tonsillectomy. Such factors should be incorporated into decision making when considering tonsillectomy.
确定成人扁桃体切除术治疗慢性扁桃体炎对生活质量的影响及总体疗效。
对接受成人扁桃体切除术至少1年的患者进行横断面调查分析。
采用格拉斯哥获益量表来量化扁桃体切除术的健康获益。收集患者人口统计学资料、抗生素使用情况、看医生次数以及扁桃体切除术前和术后12个月因慢性扁桃体炎而缺勤的工作日数等数据。
65例患者返回了完整的调查问卷。平均年龄为27.3岁，平均随访时间为42.6个月。格拉斯哥获益量表的总分（+27.1）、总体健康子量表（+34.7）、社会功能子量表（+14.4）和身体功能子量表（+9.5）的改善均具有统计学意义（P<0.001），表明扁桃体切除术具有显著的健康获益。扁桃体切除术后，平均接受抗生素治疗的周数（-7.8周）、平均看医生次数（-5.4次）和平均缺勤工作日数（-6.3天）均有统计学意义的下降（P<0.001）。
成人扁桃体切除术可显著改善慢性扁桃体炎患者的生活质量。扁桃体切除术还能减少医疗资源的利用以及术后的缺勤天数。在考虑扁桃体切除术时，这些因素应纳入决策过程。
