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[苏博蒂察耳鼻喉科60年期间(1939年至1998年)的扁桃体切除术和腺样体切除术]

[Tonsillectomies and adenoidectomies over a 60-year period (1939-1998) at the Otorhinolaryngology Department in Subotica].

作者信息

Sente Marko, Sente Ruza

机构信息

Opsta bolnica Odeljenje za uho, nos i grlo, Zdravstveni centar, Subotica.

出版信息

Med Pregl. 2003 Mar-Apr;56(3-4):162-7. doi: 10.2298/mpns0304162s.

Abstract

INTRODUCTION

This paper presents available epidemiological data on number and types of surgeries of Waldeyer's ring over a sixty-year period, as well as their interactions.

RESULTS

Out of 80.477 patients operated on in the period from December 1, 1939 to Dec 31, 1998, statistical survey included 56.564 patients (Table 1). 26.808 (46.57%) patients were operated in local anesthesia, 23.833 (41.40%) under ether narcosis, and 6.923 (12.026%) patients were operated on under general endotracheal anesthesia. 38.846 (67.48%) tonsillectomies, 12.864 (22.34%) tonsilloadenoidectomies and 5.854 (10.16%) adenoidectomies were performed.

DISCUSSION

The percentage of these surgeries is very high, but in the past ten years it has fallen below 50%. General endotracheal anesthesia is being used at the Department since 1966, and ether anesthesia is not being used since 1991. We believe that the number of tonsillectomies is high, because it also includes surgeries performed under local anesthesia, in patients over ten years of age. However, we can conclude that anesthesiological procedures effectively followed trends of medical science.

摘要

引言

本文介绍了六十年来关于咽淋巴环手术数量和类型的现有流行病学数据,以及它们之间的相互关系。

结果

在1939年12月1日至1998年12月31日期间接受手术的80477名患者中,统计调查涵盖了56564名患者(表1)。26808名(46.57%)患者在局部麻醉下接受手术,23833名(41.40%)在乙醚麻醉下接受手术,6923名(12.026%)患者在全身气管内麻醉下接受手术。共进行了38846例(67.48%)扁桃体切除术、12864例(22.34%)扁桃体腺样体切除术和5854例(10.16%)腺样体切除术。

讨论

这些手术的比例非常高,但在过去十年中已降至50%以下。自1966年以来,该科室一直使用全身气管内麻醉,自1991年以来不再使用乙醚麻醉。我们认为扁桃体切除术的数量很高,因为它还包括十岁以上患者在局部麻醉下进行的手术。然而,我们可以得出结论,麻醉程序有效地跟上了医学科学的发展趋势。

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