Risk factors for secondary post-tonsillectomy haemorrhage following tonsillectomy with bipolar scissors: four-year retrospective cohort study

T. Harju, J. Numminen
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引用次数: 17

Abstract

Abstract Objective: To analyse risk factors associated with secondary post-operative bleeding when only one technique, namely bipolar scissors, is used. Methods: The medical records of all consecutive patients aged six years or older who underwent tonsillectomy or adenotonsillectomy between 1 December 2010 and 30 November 2014 were retrospectively analysed. Results: A total of 1734 patients were included in the study. A secondary haemorrhage occurred in 208 patients (12 per cent). Patients aged 15 years or older were 4.5 times (95 per cent confidence interval = 2.6–7.9; p < 0.001) more likely to experience secondary haemorrhage. In cases of acute quinsy, patients aged 15 years or older had an 8.1-fold (95 per cent confidence interval = 1.1–59.6; p = 0.02) increased likelihood of experiencing secondary haemorrhage. Conclusion: Patients aged 15 years or older have a higher risk for bleeding regardless of the primary indication for the tonsillectomy. The risk for secondary haemorrhage does not seem to depend on the primary indication itself.
双极剪子扁桃体切除术后继发性扁桃体出血的危险因素:四年回顾性队列研究
【摘要】目的:分析双极剪刀单刀术后继发出血的相关危险因素。方法:回顾性分析2010年12月1日至2014年11月30日期间所有6岁及以上连续行扁桃体切除术或腺扁桃体切除术患者的病历。结果:共纳入1734例患者。208例患者(12%)发生继发性出血。15岁及以上患者为4.5倍(95%置信区间= 2.6-7.9;P < 0.001)更容易发生继发性出血。在急性ququy病例中,15岁或以上的患者有8.1倍(95%可信区间= 1.1-59.6;P = 0.02)继发性出血的可能性增加。结论:无论扁桃体切除术的主要指征是什么,15岁或以上的患者出血的风险更高。继发性出血的风险似乎并不取决于最初的适应症本身。
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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