关于腺样体切除术指证不同的文献阅读-.pptxVIP

[5]. Josephson G D, Duckworth L, Hossain J. Proposed definitive grading system tool for the assessment of adenoid hyperplasia[J]. The Laryngoscope, 2011, 121(1): 187-193. 150 例接受腺样体和/或扁桃体切除术的儿童 不同大小的腺样体全部予以切除 而在国内，只有阻塞后鼻孔＞50%的患儿才考虑性腺样体切除术 腺样体切除术手术指征的不同 临床学习 腺样体切除术指征不同的原因 发展历史 不同的手术指征 人文关怀？：减少患儿手术次数，避免单纯扁桃体切除术后二次腺样体切除术 腺样体切除术发展历史 Wilhelm Meyer(physician) 丹麦医生(1824-1895) 首先描述腺样体肥大的临床症状 首次进行腺样体切除术 [1].LEIVERS, E., Adenotonsillectomy; indications and application of surgical techniques. Calif Med, 1951. 75(5): p. 351-3. [2]. Paraduse JL. Tonsillectomy and adenoidectomy. In: Bluestone CD, ed. Pe- diatric Otolaryngology. Philadelphia, PA: Saunders; 2003:1210. “腺扁切除术”最早的 文献出处 20世纪初期，扁桃体和腺样体切除术通常是同时进行 [2] 不同的手术指征 腺样体切除术手术指征[3] Sleep-disordered breathing/obstructive sleep apnea is the most common indication for pediatric adenotonsillectomy[4] [3]. Ramos, S.D., S. Mukerji and H.S. Pine, Tonsillectomy and Adenoidectomy. Pediatric Clinics of North America, 2013. 60(4): p. 793-807. [4]. Paradise, J.L., et al., Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics, 2002. 110(1 Pt 1): p. 7-15. 人文关怀? 减少患儿手术次数，避免单纯扁桃体切除术后二次腺样体切除术 尚未足够发现研究数据支持[6-7] 个人观点 存有争议 相似研究[8] [6]. Duval, M., J.C.I. Chung and J. Vaccani, A Case-Control Study of Repeated Adenoidectomy in Children. JAMA Otolaryngology–Head Neck Surgery, 2013. 139(1): p. 32. [7]. Dearking, A.C., et al., Factors Associated with Revision Adenoidectomy. Otolaryngology -- Head and Neck Surgery, 2012. 146(6): p. 984-990. [8]. Kay D J, Bryson P C, Casselbrant M. Rates and risk factors for subsequent tonsillectomy after prior adenoidectomy: a regression analysis[J]. Archives of Otolaryngology–Head Neck Surgery, 2005, 131(3): 252-255.