Connecticut Children's Medical Center, Hartford, Connecticut 06106, USA.
Laryngoscope. 2011 Oct;121(10):2128-30. doi: 10.1002/lary.22161. Epub 2011 Sep 6.
OBJECTIVE/HYPOTHESIS: Adenoidectomy is a frequently performed procedure in the pediatric population. Revision rates and indications for a second procedure in children are scarce.
Retrospective cohort study.
Patient records at a multistate pediatric healthcare system were searched for all CPT codes that included adenoidectomy in children less than 12 years of age for a 5-year period (2005-2010). A subset of patients was identified for whom the same CPT codes appeared more than once in this 5-year period. The indication, age, gender, adenoid size, and technique of adenoidectomy were recorded.
A total of 23,612 occurrences of the CPT codes were identified. The subset of patients with multiple CPT codes, indicating revision adenoidectomy, included 304 records (1.3%). Mean age at first procedure was 2.8 years (SD = 1.7 years). Mean age at second procedure was 4.7 years (SD = 1.99 years). Mean interval between procedures was 1.8 years (SD = 1.1 years).
Revision adenoidectomy occurs at a rate of 1.3%. Reasons for revision include persistence symptoms ranging from adenoiditis to recurrent otitis to obstructive sleep apnea.
目的/假设：腺样体切除术是儿科人群中经常进行的手术。儿童再次手术的翻修率和适应证很少见。
回顾性队列研究。
在一个多州儿科医疗保健系统中，搜索了所有在 5 年内（2005-2010 年）对年龄小于 12 岁的儿童进行的包括腺样体切除术在内的 CPT 代码的患者记录。确定了一组在这 5 年内多次出现相同 CPT 代码的患者。记录了手术的适应证、年龄、性别、腺样体大小和腺样体切除术的技术。
总共确定了 23612 次 CPT 代码的发生。表示翻修腺样体切除术的多次 CPT 代码患者子集包括 304 份记录（1.3%）。第一次手术的平均年龄为 2.8 岁（SD=1.7 岁）。第二次手术的平均年龄为 4.7 岁（SD=1.99 岁）。两次手术之间的平均间隔为 1.8 年（SD=1.1 年）。
翻修腺样体切除术的发生率为 1.3%。翻修的原因包括从腺样体炎到复发性中耳炎到阻塞性睡眠呼吸暂停等持续存在的症状。
