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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Long‐term outcomes of tonsillectomy for recurrent tonsillitis in adults
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Long‐term outcomes of tonsillectomy for recurrent tonsillitis in adults

机译：成人复发性扁桃体炎的长期结果

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Background There is uncertainty regarding the effectiveness of tonsillectomy for recurrent tonsillitis in the adult population. Several studies have described a reduced number and severity of tonsillitis episodes; however, the impact of tonsillectomy on healthcare burden has yet to be studied. The aim of the present study was to evaluate the long‐term outcomes of tonsillectomy in the adult population. Methods A retrospective review of the central database of Clalit Health Services, Tel Aviv, Israel, between 2003 and 2009 was performed. The study included all adult patients (18?years) who underwent tonsillectomy due to recurrent tonsillitis. Clinical and epidemiological data from 3?years before and after surgery were collected and analyzed. Results A total of 3,701 patients were included in the study. Mean age was 37.4?years, and 42.9% were males. Following surgery, there was a significant decrease in the total number of tonsillitis episodes, otolaryngologist clinic visits, consumption of pertinent antibiotics, and respiratory complaints. Moreover, a reduced number of hospitalizations to the otolaryngology department and shorter hospitalization duration were also noted. Although the total number of hospitalizations was unaffected, there was an increase in the number of primary care office visits. Finally, a break‐even time analysis revealed an average of 2.7?years following tonsillectomy. Conclusion Tonsillectomy for recurrent tonsillitis is effective in decreasing the number and severity of tonsillitis episodes and might also have an economic benefit. The impact of tonsillectomy on general health needs to be further evaluated; however, it appears that there is no increase in overall morbidity. Level of Evidence NA Laryngoscope , 130:328–331, 2020
机译：背景技术对成年人群中经常性扁桃体炎的扁桃体切除术的有效性存在不确定性。几项研究描述了扁桃体炎剧集的数量和严重程度;然而，扁桃体切除术对医疗保健负担的影响尚未研究。本研究的目的是评估成年人群的扁桃体切除术的长期结果。方法对2003年至2009年之间的克莱特卫生服务，特拉维夫，以色列，以色列，以色列，2003年至2009年之间的回顾性审查。该研究包括所有成年患者（＆ 18岁）患者因经复制的扁桃体炎而接受扁桃体切除术。从3岁以下的临床和流行病学数据收集并分析了手术前后的年前。结果共有3,701名患者纳入该研究。平均年龄为37.4？年龄，42.9％是男性。手术后，扁桃体炎剧集总数，耳鼻喉炎诊断，相关抗生素消费和呼吸投诉的总数显着降低。此外，还注意到对耳鼻喉科部门和较短的住院时间较短的住院时间。虽然住院的总数不受影响，但初级护理办公室访问数量增加。最后，休息时间分析揭示了扁桃体切除术后的2.7年。结论复发性扁桃体炎的扁桃体切除术可有效降低扁桃体炎发作的数量和严重程度，也可能具有经济效益。扁桃体切除术对一般健康的影响需要进一步评估;但是，似乎整体发病率没有增加。证据水平Na Laryngocupe，130：328-331,2020

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