Masalha Muhamed, DeRowe Ari, Mazzawi Salim, Chen Tzvi, Ghanayim Rami, Landsberg Roee, Koren Ariel
Deptartment of Otolaryngology Head and Neck Surgery, Emek Medical Center (affiliated with The Ruth and Bruce Rappaport School of Medicine, Technion Institute of Technology, Haifa), Yitzhak Rabin Boulevard 21, 1834111, Afula, Israel.
Otolaryngology, Head and Neck Surgery, Assuta Medical Center (affiliated with Ben Gurion University-Faculty of Medicine, Beer Sheva), 20 Habarzel St, Ramat Hachayal, 69710, Tel Aviv, Israel.
BMC Res Notes. 2020 Mar 24;13(1):175. doi: 10.1186/s13104-020-05020-6.
The value of pre-operative coagulation testing for adenotonsillar surgery is controversial. The purpose of this study was to evaluate the role of routine coagulation tests and a standardized questionnaire in children before tonsillectomy and/or adenoidectomy.
A total of 143 children were prospectively enrolled in the study between 2013 and 2017, 81 males (56.6%) and 62 females (43.4%), age range 1 to 18 years (median age 5 years). Eighteen bleeding events were documented, three of them required treatment in the operating room. Abnormal coagulation tests were not associated with higher odds of bleeding after surgery. Higher risk of bleeding (p = 0.01) was associated with an abnormal standardized medical questionnaire.
术前凝血功能检测在腺样体扁桃体手术中的价值存在争议。本研究的目的是评估常规凝血功能检测和标准化问卷在儿童扁桃体切除术和/或腺样体切除术前的作用。
2013年至2017年期间，共有143名儿童前瞻性纳入本研究，其中男性81名（56.6%），女性62名（43.4%），年龄范围为1至18岁（中位年龄5岁）。记录到18例出血事件，其中3例需要在手术室进行治疗。凝血功能检测异常与术后出血几率较高无关。标准化医学问卷异常与出血风险较高相关（p = 0.01）。
