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[斯雷姆斯卡·米洛什尔尼察临床医院耳鼻喉科16岁以下儿童扁桃体切除术的适应症]

[Indications for tonsillectomy in children aged under 16 years in ENT Department of Sestre Milosrdnice Clinical Hospital].

作者信息

Stevanović Sinisa, Aras Ivana, Baudoin Tomislav, Drvis Petar

机构信息

ORL odjel OB Virovitica.

出版信息

Lijec Vjesn. 2008 Jul-Aug;130(7-8):201-4.

PMID:18979909
Abstract

AIM OF THE STUDY

To study frequency and type of indications for tonsillectomy in ENT Department of "Sestre milosrdnice" Clinical Hospital, distribution of operations according to the age and sex of the patients. To present history of tonsillectomies.

METHODS

Retrospective study, information collected by clinical documentation review (anamnesis, physical findings).

RESULTS

In the nine-year period 1995 - 2003 the total number of operations was 4704, 2527 male, 2177 female patients. There were 2692 tonsillectomies, 2011 adenotomies and 1 tonsillectomy "a chaud". The most frequent indication for tonsillectomy was recurrent tonsillitis (72%), followed by adenotonsillar hypertrophy (13%), chronic tonsillitis (12%), focaloses (1%) and peritonsillar abscess (2%). Distribution according to the surgeon: 80% of the operations were performed by specialists, 20% by residents. According to the age of patient: operations were most often performed at the age of 4 (800 patients).

CONCLUSION

According to this study the most frequent indication for tonsillectomy was recurrent tonsillitis. Indications for tonsillectomy are clearly defined and as such should be followed.

摘要

研究目的

研究“圣母怜子”临床医院耳鼻喉科扁桃体切除术的适应症频率及类型,以及根据患者年龄和性别进行的手术分布情况。呈现扁桃体切除术的历史。

方法

回顾性研究,通过临床文档回顾(病史、体格检查结果)收集信息。

结果

在1995年至2003年的九年期间,手术总数为4704例,男性患者2527例,女性患者2177例。其中扁桃体切除术2692例,腺样体切除术2011例,急诊扁桃体切除术1例。扁桃体切除术最常见的适应症是复发性扁桃体炎(72%),其次是腺样体扁桃体肥大(13%)、慢性扁桃体炎(12%)、病灶感染(1%)和扁桃体周围脓肿(2%)。按手术医生分布:80%的手术由专科医生进行,20%由住院医生进行。按患者年龄分布:手术最常发生在4岁(800例患者)。

结论

根据本研究,扁桃体切除术最常见的适应症是复发性扁桃体炎。扁桃体切除术的适应症已明确界定,应严格遵循。

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