小儿腺样体扁桃体切除术作为阻塞性睡眠呼吸暂停的日间手术：我们在三级医疗单位的做法。
Paediatric adenotonsillectomy as a daycase for obstructive sleep apnoea: how we do it in a tertiary unit.
作者信息
Cooper Lilli, Ford Kathryn, Bajaj Yogesh
机构信息
CT1 Surgery, Bart's Children's and the Royal London Hospital, United Kingdom.
出版信息
Int J Pediatr Otorhinolaryngol. 2013 Nov;77(11):1877-80. doi: 10.1016/j.ijporl.2013.08.036. Epub 2013 Sep 8.
BACKGROUND
Paediatric adenotonsillectomy is a common ENT operation. Daycase surgery for uncomplicated, elective procedures is encouraged in order to improve efficiency in healthcare. For patients with obstructive sleep apnoea (OSA), most units advocate an overnight stay for adenotonsillectomy, a procedure usually performed as a daycase in other contexts.
METHODS
A retrospective casenote review was carried out from 1st December 2011 to 1st December 2012 for all children undergoing daycase adenotonsillectomy for treatment of OSA at Bart's Children's and the Royal London Hospital.
RESULTS
250 children underwent adenotonsillectomies for OSA as daycase procedures over twelve months. 6% had immediate, unplanned overnight admissions. 3% were readmitted within 30 days. No patients readmitted required surgical intervention.
CONCLUSION
For an appropriately selected child, adenotonsillectomy can be safely performed as a daycase procedure in a tertiary centre.
背景
小儿腺样体扁桃体切除术是一种常见的耳鼻喉科手术。为提高医疗效率，鼓励对无并发症的择期手术采用日间手术。对于阻塞性睡眠呼吸暂停（OSA）患者，大多数科室主张腺样体扁桃体切除术后过夜留院观察，而在其他情况下该手术通常作为日间手术进行。
方法
对2011年12月1日至2012年12月1日期间在巴特儿童医院和皇家伦敦医院接受日间腺样体扁桃体切除术治疗OSA的所有儿童进行回顾性病例记录审查。
结果
在十二个月内，250名儿童因OSA接受了日间腺样体扁桃体切除术。6%的患儿术后立即意外过夜住院。3%的患儿在30天内再次入院。再次入院的患儿均无需手术干预。
结论
对于经过适当筛选的儿童，在三级中心可以安全地将腺样体扁桃体切除术作为日间手术进行。
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