Rowlands R G, Harris R, Hern J, Knight J R
Department of Otolaryngology, Mayday University Hospital, London, UK.
J Laryngol Otol. 2002 Oct;116(10):791-3. doi: 10.1258/00222150260293583.
Abstract Traditionally major ear surgery in children has been regarded as an in-patient procedure. Evidence from the USA for adults, however, concludes that it is both safe and effective to perform many major ear procedures as day cases. We have been carrying out major ear operations on children as day cases routinely for six years in a dedicated children's day unit and examined our data to find out whether it was both safe and feasible to perform major ear surgery in children on a day-case basis. As our main outcome measure we used the rate of unplanned admissions. We found that the unplanned admission rate for surgery, excluding mastoid surgery, was 6.7 per cent and that procedures such as myringoplasty, ossiculoplasty, bilateral pinnaplasty, meatoplasty and tympanotomy with excision of cholesteatoma, were eminently suitable for day surgery.
摘要 传统上，儿童的耳部大手术一直被视为住院手术。然而，来自美国针对成人的证据表明，许多耳部大手术作为日间手术进行既安全又有效。我们在一个专门的儿童日间病房中，已经常规地将儿童耳部大手术作为日间手术开展了六年，并对我们的数据进行了检查，以确定在日间手术基础上对儿童进行耳部大手术是否既安全又可行。作为我们的主要结局指标，我们使用了非计划住院率。我们发现，不包括乳突手术在内的手术非计划住院率为6.7%，而且诸如鼓膜成形术、听骨成形术、双侧耳廓成形术、外耳道成形术以及伴有胆脂瘤切除的鼓膜切开术等手术，非常适合日间手术。
