Ovesen Therese, Kamarauskas Audrius, Hlidarsdottir Tinna, Dahl Mads Ronald, Mainz Jan
Department of Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, 8000 Aarhus C, Denmark.
Dan Med J. 2013 May;60(5):A4637.
The objective was to evaluate the long-term results of outpatient tonsillectomy in Danish ear, nose and throat (ENT) practices in terms of satisfaction, quality of life (QoL) and relief of symptoms.
A telephone interview was carried out at least three years after tonsillectomy. Alternatively, a questionnaire was filled in by the patients. The answers were compared to a pre-operative questionnaire.
The response rate was 63% (386/614). No differences were found between the responders and the non-responders except that the proportion of smokers was higher in the non-responder group. QoL improved significantly and 93% were satisfied with having chosen tonsillectomy. 95% experienced complete or partial relief from their former throat-related symptoms. Eight to 11% had developed new symptoms from the throat including sleep-disordered breathing.
With regard to QoL, satisfaction and relief of symptoms, the long-term results of outpatient tonsillectomy in Danish ENT practices are comparable to those obtained among hospitalized patients and they are in conformity with international standards. However, as approximately 10% develop new symptoms, it is important that physicians are aware of the indication as well as of any information received during shared decision-making with the patients/parents to adjust expectations.
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目的是从满意度、生活质量（QoL）和症状缓解方面评估丹麦耳鼻喉科门诊扁桃体切除术的长期效果。
在扁桃体切除术后至少三年进行电话访谈。或者，由患者填写问卷。将答案与术前问卷进行比较。
回复率为63%（386/614）。除了未回复者组中吸烟者比例较高外，回复者与未回复者之间未发现差异。生活质量显著改善，93%的人对选择扁桃体切除术感到满意。95%的人以前的咽喉相关症状得到完全或部分缓解。8%至11%的人出现了包括睡眠呼吸紊乱在内的新的咽喉症状。
在生活质量、满意度和症状缓解方面，丹麦耳鼻喉科门诊扁桃体切除术的长期效果与住院患者相当，且符合国际标准。然而，由于约10%的人会出现新症状，医生了解适应症以及在与患者/家长共同决策过程中获得的任何信息以调整期望非常重要。
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