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首页> 外文期刊>Auris, nasus, larynx >Predicting safe tonsillectomy for ambulatory surgery.
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Predicting safe tonsillectomy for ambulatory surgery.

机译：预测用于门诊手术的安全扁桃体切除术。

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OBJECTIVES: To assess the safety of tonsillectomy procedure in local setting. METHODS: Retrospective review of 267 tonsillectomy patients in Tengku Ampuan Afzan Hospital, Malaysia from January 2006 to December 2007. RESULTS: Only 2.6% had trauma, 1.1% had difficult intubation, 0.7% had anaesthetic complication and none developed bleeding intra-operatively. Post-operatively, both primary and secondary haemorrhage showed prevalence of 1.9% each, 1.1% patients had infection and 0.4% patients had inability of extubation while another 1.9% had other complications. Duration of post-operative hospital stay was only slightly increased with occurrence of intra-operative complications but not with post-operative complications. Significant increase in risk was observed for both primary haemorrhage (OR: 1.05, 95% CI 1.01-1.09 min, P=0.020) and respiratory complications (OR: 1.08, 95% CI 1.01-1.16 min, P=0.024) by 4.5% and 8.3%, respectively, with every 1-min increase in length of surgery. CONCLUSIONS: The observed low prevalence of complications corresponded with large number of studies denoting safety of tonsillectomy. This may well be increased by appropriately reducing the length of surgery. Although predictors for complications were unable to be determined, it is not advisable for ambulatory tonsillectomy to be performed on OSA patients considering the respiratory complications observed in our setting.
机译：目的：评估局部环境中扁桃体切除术的安全性。方法：回顾性研究2006年1月至2007年12月在马来西亚Tengku Ampuan Afzan医院进行的267例扁桃体切除术患者的结果。结果：仅有2.6％的患者有创伤，有1.1％的患者有困难的插管，有0.7％的患者有麻醉并发症，并且没有出现术中出血。术后，原发性和继发性出血的患病率分别为1.9％，1.1％的患者感染和0.4％的患者无法拔管，而另外1.9％的患者则有其他并发症。术中并发症的发生仅使术后住院时间略有增加，而术后并发症则没有。原发性出血（OR：1.05，95％CI 1.01-1.09 min，P = 0.020）和呼吸系统并发症（OR：1.08，95％CI 1.01-1.16 min，P = 0.024）的风险均显着增加4.5％每增加1分钟，手术时间就会增加8.3％。结论：观察到的并发症低患病率与大量的研究表明扁桃体切除术的安全性相对应。通过适当减少手术时间可以很好地增加这一点。尽管无法确定并发症的预测因素，但考虑到在我们的环境中观察到的呼吸系统并发症，不建议对OSA患者进行动态扁桃体切除术。

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