Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Eur Arch Otorhinolaryngol. 2013 Sep;270(9):2531-6. doi: 10.1007/s00405-013-2374-7. Epub 2013 Feb 6.
Tonsillotomy (TT) is now used more often than tonsillectomy (TE) for tonsil obstructive symptoms in Sweden. Both TE and TT give high patient satisfaction although TT results in fewer postoperative bleedings and shorter time when analgesics are needed. The objective of this study is to analyze the current prevalence of different tonsil surgery procedures, the rates of early and late bleeding and other complications. Data from the National Tonsil Surgery Register in Sweden were analyzed. Patients 1-15 years operated for symptoms due to tonsil hypertrophy were included. Surgical procedure, technique and bleedings during hospital stay were registered. Thirty days after surgery, unplanned contacts due to bleeding, infection or pain were reported as were symptom relief after 6 months. 24,083 patients were registered. Of the 10,826 children 1-15 years operated for obstructive symptoms, 64 % were TT or TT+A, and 34 % TE, TE+A. 69 % answered the 30-day questionnaire and 50 % the 6 months. Bleeding in hospital occurred in 1.38 %, late bleedings in 2.06 %: 3.7 % after TE+A, 0.8 % after TT+A. Differences in readmissions due to bleeding, number of days using analgesics, health care contacts due to pain and nosocomial infections were significant between TT and TE, but not differences with regard to symptom relief after 6 months.
扁桃体切除术（TT）现在在瑞典比扁桃体切除术（TE）更常用于治疗扁桃体阻塞症状。尽管 TT 术后出血较少，需要止痛药的时间较短，但 TE 和 TT 都能获得很高的患者满意度。本研究的目的是分析目前不同扁桃体手术程序的流行率、早期和晚期出血以及其他并发症的发生率。对瑞典全国扁桃体手术登记处的数据进行了分析。纳入年龄在 1-15 岁、因扁桃体肥大引起症状而行手术的患者。记录手术程序、技术和住院期间的出血情况。术后 30 天，报告因出血、感染或疼痛而计划外就诊的情况，以及术后 6 个月的症状缓解情况。共登记了 24083 名患者。在因阻塞症状而接受手术的 10826 名 1-15 岁儿童中，64%接受了 TT 或 TT+A，34%接受了 TE、TE+A。69%的患者回答了 30 天的调查问卷，50%的患者回答了 6 个月的调查问卷。住院期间出血发生率为 1.38%，晚期出血发生率为 2.06%：TE+A 后为 3.7%，TT+A 后为 0.8%。因出血再次入院、使用止痛药天数、因疼痛而就诊的次数和医院感染的差异在 TT 和 TE 之间有统计学意义，但术后 6 个月的症状缓解情况无差异。
