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扁桃体切除术对成人复发性扁桃体炎的益处和疗效

Benefits and efficacy of tonsillectomy for recurrent tonsillitis in adults.

作者信息

Hsu Alvin Pon Poh, Tan Kah Leong, Tan Yau Boon, Han Hong Juan, Lu Peter Kuo Sun

机构信息

Division of Otolaryngology, Changi General Hospital, Singapore.

出版信息

Acta Otolaryngol. 2007 Jan;127(1):62-4. doi: 10.1080/00016480500540501.

Abstract

CONCLUSIONS

Tonsillectomy is an effective procedure that provides medical and social benefits for adult patients with recurrent tonsillitis.

OBJECTIVE

To evaluate the benefits, impact and overall efficacy of tonsillectomy for recurrent tonsillitis in adults.

PATIENTS AND METHODS

Analysis of medical records with postoperative survey analysis of patients who underwent tonsillectomy in 1 work year with at least 1 year of follow-up.

RESULTS

A total of 105 patients returned completed surveys. Their mean age was 26.25 years. The mean frequency of tonsillitis per year decreased from 8.37 (SD=3.75) to 1.43 (SD=1.86), p<0.005. The mean duration in days of each episode of tonsillitis decreased from 5.91 (SD=2.67) to 1.23 (SD=1.42), p<0.005. The mean number of work days missed decreased from 8.92 (SD=6.85) to 0.65 (SD=1.49), p<0.005. The mean pain score (1-10) was 6.88 (SD=5.75). An average of 14.17 (SD=5.75) days of medical leave was required postoperatively. In all, 37.1% of patients noticed postoperative voice changes; 92.4% would still choose tonsillectomy again for the same condition and 98.1% would recommend tonsillectomy to family or friends if they had recurrent tonsillitis.

摘要

结论

扁桃体切除术是一种有效的手术,可为患有复发性扁桃体炎的成年患者带来医学和社会效益。

目的

评估扁桃体切除术对成人复发性扁桃体炎的益处、影响和总体疗效。

患者与方法

对在1个工作年度内接受扁桃体切除术且至少随访1年的患者进行病历分析及术后调查分析。

结果

共有105名患者返回了完整的调查问卷。他们的平均年龄为26.25岁。每年扁桃体炎的平均发作频率从8.37次(标准差=3.75)降至1.43次(标准差=1.86),p<0.005。每次扁桃体炎发作的平均天数从5.91天(标准差=2.67)降至1.23天(标准差=1.42),p<0.005。错过的平均工作日数从8.92天(标准差=6.85)降至0.65天(标准差=1.49),p<0.005。平均疼痛评分(1-10分)为6.88分(标准差=5.75)。术后平均需要14.17天(标准差=5.75)的病假。总体而言,37.1%的患者注意到术后声音改变;92.4%的患者在相同情况下仍会再次选择扁桃体切除术,98.1%的患者如果患有复发性扁桃体炎会向家人或朋友推荐扁桃体切除术。

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