Stalfors Joacim, Ericsson Elisabeth, Hemlin Claes, Hultcrantz Elisabeth, Månsson Ingemar, Roos Kristian, Hessén Söderman Anne-Charlotte
Departments of Otorhinolaryngology at Sahlgrenska University Hospital, Gothenburg, Sweden.
Acta Otolaryngol. 2012 May;132(5):533-9. doi: 10.3109/00016489.2011.644252. Epub 2012 Jan 11.
Patients operated with tonsillar surgery report a high degree of symptom relief 6 months after surgery.
The purpose of this study was to analyze symptom relief 6 months after tonsil surgery in relation to age, indication, surgical procedure, primary bleeding and unplanned postoperative visits. The National Tonsil Surgery Register in Sweden offers data from 54,696 patients registered during 1997-2008.
This was a prospective assessment by questionnaire. Data were collected using three questionnaires, two completed by professionals and one 6 months postoperatively by the parents/patients.
Among 54,696 patients, the most common surgical indications were obstruction (49.7%), followed by recurrent tonsillitis (35.2%). Symptom relief 6 months after surgery was high in all indication groups (>92%), and highest for patients operated on the indication peritonsillitis (>98%). The indications obstruction, recurrent tonsillitis or chronic tonsillitis reported a high degree (>96%) of symptom relief. Of the patients who underwent tonsillectomy with adenoidectomy, 97.5% were symptom-free compared to 96% of patients who had tonsillectomy alone and 96.1% who underwent tonsillotomy (p < 0.0001). In all, 13.9% of patients required an unplanned visit to the clinic postoperatively. Only 148 of 54,696 patients reported worsening of symptoms after surgery.
接受扁桃体手术的患者在术后6个月报告症状缓解程度较高。
本研究的目的是分析扁桃体手术后6个月的症状缓解情况与年龄、手术指征、手术方式、原发性出血及计划外术后就诊之间的关系。瑞典国家扁桃体手术登记处提供了1997年至2008年期间登记的54696例患者的数据。
这是一项通过问卷调查进行的前瞻性评估。使用三份问卷收集数据，两份由专业人员填写，一份在术后6个月由父母/患者填写。
在54696例患者中，最常见的手术指征是阻塞（49.7%），其次是复发性扁桃体炎（35.2%）。所有指征组术后6个月的症状缓解率都很高（>92%），因扁桃体周围炎接受手术的患者症状缓解率最高（>98%）。阻塞、复发性扁桃体炎或慢性扁桃体炎指征的患者报告症状缓解程度较高（>96%）。接受扁桃体切除加腺样体切除术的患者中，97.5%无症状，单纯扁桃体切除的患者为96%，扁桃体切开术患者为96.1%（p<0.0001）。总共有13.9%的患者术后需要计划外就诊。在54696例患者中，只有148例报告术后症状恶化。
