Association between Systemic Immune-Inflammation Index (SII) and secondary haemorrhage risk after tonsillectomy.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-29 DOI:10.1017/S0022215125102879

Murat Gümüşsoy, Özlem Yagız Agayarov, Ibrahim Çukurova

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引用次数: 0

Abstract

Objectives: This study evaluates the relationship between Systemic Immune-Inflammation Index and secondary tonsillar haemorrhage after tonsillectomy.

Methods: Sixty pediatric patients with secondary haemorrhage and 60 without bleeding were grouped for comparative analysis. Laboratory parameters and Systemic Immune-Inflammation Index values were collected preoperatively, on the bleeding day and on the control day, then compared.

Results: Secondary haemorrhage occurred in 60 patients (3.11 per cent), with a mean age of 8.85 ± 3.07 years. Bleeding occurred at 8.63 ± 2.32 days post-operatively (range: 72 hours-21 days). Tonsillectomy day: Neutrophil count and Systemic Immune-Inflammation Index were significantly higher in the haemorrhage group (p < 0.001). Haemorrhage vs. tonsillectomy day (haemorrhage group): Platelet, neutrophil and Systemic Immune-Inflammation Index increased, while lymphocytes decreased (p < 0.001). Haemorrhage vs. control day: Neutrophil count and Systemic Immune-Inflammation Index remained significantly higher (p < 0.001).

Conclusion: Systemic Immune-Inflammation Index, a novel inflammatory marker, may help predict post-tonsillectomy haemorrhage risk.

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扁桃体切除术后全身免疫炎症指数（SII）与继发性出血风险的关系

目的：探讨扁桃体切除术后全身免疫炎症指数与继发性扁桃体出血的关系。方法：将60例继发性出血患儿与60例无出血患儿分为两组进行比较分析。收集术前、出血日和对照日的实验室参数和全身免疫炎症指数，并进行比较。结果：继发性出血60例（3.11%），平均年龄8.85±3.07岁。出血发生于术后8.63±2.32天（72小时-21天）。扁桃体切除术当天：出血组中性粒细胞计数和全身免疫炎症指数显著高于出血组（p < 0.001）。出血组与扁桃体切除日（出血组）：血小板、中性粒细胞和全身免疫炎症指数升高，淋巴细胞降低（p < 0.001）。出血与对照日：中性粒细胞计数和全身免疫炎症指数仍显著升高（p < 0.001）。结论：系统性免疫炎症指数是一种新的炎症指标，可以帮助预测扁桃体切除术后出血的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.