Senska Götz, Atay Halil, Pütter Carolin, Dost Philipp
Department of Otorhinolaryngology, Head and Neck Surgery, Marienhospital Gelsenkirchen GmbH, Institute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen.
Dtsch Arztebl Int. 2015 Dec 11;112(50):849-55. doi: 10.3238/arztebl.2015.0849.
Tonsillectomy is performed more than 400 000 times in the European Union each year, making it one of the most common operations. Nonetheless, there have been only a few long-term studies of quality of life after tonsillectomy.
In 2004, data on the quality of life after tonsillectomy were obtained from adult German-speaking tonsillectomy patients by means of the Glasgow Benefit Inventory and a questionnaire specifically designed for that study. The present study concerns the further followup of these patients, sometimes many years later. 114 patients with recurrent tonsillitis were included in this descriptive study.
Of the 114 patients, 97 (85%) provided further data at 14 months, and 71 (62%) at ca. 7 years. The Glasgow Benefit Inventory revealed postoperative improvement of quality of life at 14 months and at 7 years, with median values of 16.67 points (quartile 11.11/25) and 13.89 points (quartile 8.33/25) (p=0.168). The mean number of annual episodes of sore throat fell from 10 preoperatively to 2 postoperatively (p=0.0001). The number of visits to the doctor, the intake of analgesic drugs and antibiotics, and the number of medical absences from work also declined significantly over the period of observation.
Tonsillectomy was associated with a longlasting improvement of health and quality of life, and with lower utilization of medical resources. The 62% response rate at 7 years leaves the question open whether patients with a favorable postoperative course may have been more likely than others to participate in the study.
在欧盟，每年扁桃体切除术的实施次数超过40万次，使其成为最常见的手术之一。然而，关于扁桃体切除术后生活质量的长期研究却很少。
2004年，通过格拉斯哥获益量表以及专门为该研究设计的问卷，收集了成年德语区扁桃体切除患者术后生活质量的数据。本研究关注这些患者多年后的进一步随访情况。这项描述性研究纳入了114例复发性扁桃体炎患者。
114例患者中，97例（85%）在14个月时提供了进一步的数据，71例（62%）在约7年时提供了数据。格拉斯哥获益量表显示，术后14个月和7年时生活质量均有改善，中位数分别为16.67分（四分位数间距11.11/25）和13.89分（四分位数间距8.33/25）（p = 0.168）。每年咽痛发作的平均次数从术前的10次降至术后的2次（p = 0.0001）。在观察期内，看医生的次数、镇痛药和抗生素的使用量以及因病缺勤的天数也显著减少。
扁桃体切除术与健康状况和生活质量的长期改善以及医疗资源利用率的降低相关。7年时62%的应答率使得术后恢复良好的患者是否比其他患者更有可能参与研究这一问题仍未明确。
