Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005
Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005
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DOI：
10.1016/j.otohns.2009.01.044
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发表时间：
2009-06-01
影响因子：
3.4
通讯作者：
Orvidas, Laura J.
中科院分区：
文献类型：
--
作者：
Erickson, Britt K.;Larson, Dirk R.;Orvidas, Laura J.
目的：调查扁桃体切除术和腺扁桃体切除术35年的流行病学趋势。研究设计/对象：横断面调查。研究对象包括1970年至2005年所有接受扁桃体或腺样体切除术的患者，年龄从出生到29岁。结果：研究共纳入8106例患者（中位年龄8.0岁;范围：6个月至29岁;男性3646例[45%]）。扁桃体切除术的总体发生率从1970年至1974年的126例（95%置信区间[CI]，111-140）/100，000人-年增加到2000年至2005年的153例（95% CI，139-166）。作为一个主导因素，腺样体扁桃体切除术的发病率从1970年至1974年的每10万人年243例（95%CI，223-261）急剧上升至2000年至2005年的485例（95%CI，462-509）。上呼吸道阻塞的指征从1970年的12%增加到2005年的77%。结论：扁桃体切除术和腺样体切除术的流行趋势已经发生了实质性的变化。总体数量有所增加，手术适应症已从感染转变为上呼吸道阻塞。(C)2009年美国耳鼻咽喉头颈外科学会基金会。All rights reserved.
OBJECTIVE: To investigate 35-year epidemiological trends in tonsillectomy and adenotonsillectomy.STUDY DESIGN/SUBJECTS: Cross-sectional survey. Subjects included all patients from birth to age 29 years who had tonsillectomy or adenotonsillectomy from 1970 to 2005.RESULTS: Study included 8106 patients (median age 8.0 years; range, 6 months to 29 years; male 3646 patients [45%]). Overall tonsillectomy incidence increased from 126 (95% confidence interval [CI], 111-140) per 100,000 person-years in 1970 through 1974 to 153 (95% Cl, 139-166) in 2000 through 2005. A dominant factor, adenotonsillectomy incidence rose sharply from 243 (95% Cl, 223-261) per 100,000 person-years in 1970 through 1974 to 485 (95% CI, 462-509) in 2000 through 2005. The indication of upper airway obstruction increased from 12 percent of patients in 1970 to 77 percent in 2005.CONCLUSIONS: Epidemiological trends in tonsillectomy and adenotonsillectomy have shifted substantially. Overall numbers have increased, and surgical indications have shifted from infection to upper airway obstruction. (C) 2009 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.