[低温等离子体辅助扁桃体切除术后因术后出血再次手术的危险因素分析]
[Analysis of risk factors for re-operation due to postoperative haemorrhage following coblation-assisted tonsillectomy].
作者信息
Yi Xing, Deng Tengbo, Zhu Huabing, Fu Yiwen
机构信息
Department of Otorhinolaryngology Head and Neck Surgery，Yueyang Central Hospital，Yueyang，414000，China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Oct;36(10):768-771. doi: 10.13201/j.issn.2096-7993.2022.10.008.
To investigate the risk factors for re-operation due to postoperative haemorrhage following coblation-assisted tonsillectomy. The clinical data of 135 patients with haemorrhage after coblation-assisted tonsillectomy in our hospital from January 2015 to May 2022 were collected, According to the patients received reoperation after tonsillectomy or not, all patients were divided into the reoperation group （=43） and non-reoperation group （=92）,clinical data were compared between the two groups. Univariate analysis showed that there was no significant difference in gender, age, postoperative intravenous glucocorticoid use, diabetes and hypertension between the two groups（>0.05）, Univariate and multivariate factor analyses showed that early haemorrhage, obvious hemorrhage points were independent risk factors for re-operation due to postoperative haemorrhage（<0.05）. Early haemorrhage and obvious hemorrhage points are independent risk factors for re-operation due to postoperative haemorrhage following coblation-assisted tonsillectomy.
探讨低温等离子体辅助扁桃体切除术后因术后出血而再次手术的危险因素。收集我院2015年1月至2022年5月135例低温等离子体辅助扁桃体切除术后出血患者的临床资料，根据患者扁桃体切除术后是否接受再次手术，将所有患者分为再次手术组（n = 43）和非再次手术组（n = 92），比较两组临床资料。单因素分析显示，两组间性别、年龄、术后静脉使用糖皮质激素、糖尿病和高血压方面差异无统计学意义（P>0.05），单因素和多因素分析显示，早期出血、出血点明显是术后出血导致再次手术的独立危险因素（P<0.05）。早期出血和出血点明显是低温等离子体辅助扁桃体切除术后因术后出血而再次手术的独立危险因素。
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