Subtotal intracapsular tonsillectomy may be the first choice for tonsillectomy in children.
Subtotal intracapsular tonsillectomy may be the first choice for tonsillectomy in children.
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DOI：
10.1177/03000605211011930
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Wang ZH
中科院分区：
文献类型：
--
作者：
Wang J;Dang PH;Chang HH;Wang ZH
目的探讨扁桃体次全囊内切除术的效果及预后。所有患有扁桃体肥大和慢性扁桃体炎的儿童（n=162）随机分为扁桃体切除术（n=75）和次全囊内扁桃体切除术（n=87）两组。扁桃体切除术：扁桃体组织连同扁桃体囊被完全切除。次全囊内扁桃体切除术：在不损伤扁桃体囊的情况下，切除80% ~ 90%的扁桃体和扁桃体隐窝的完整上皮。采用Face， Legs, Activity, Cry, and Consolability （FLACC）量表和父母术后疼痛测量量表（PPPM）评估患儿术后疼痛，采用阻塞性睡眠呼吸暂停(OSA)-18问卷评估患儿术后生活质量。随访2年。1. FLACC和PPPM量表显示，扁桃体次全囊内切除术患儿术后疼痛明显小于扁桃体切除术患儿。2. asa -18量表评分显示，次全扁桃体囊内切除术显著改善了患儿的生活质量。3. 次全扁桃体囊内切除术后2年，无患者需要再次手术。扁桃体次全囊内切除术可能是扁桃体肥大和慢性扁桃体炎患者的首选。
To investigate the effect and prognosis of subtotal intracapsular tonsillectomy. All children (n=162) with tonsillar hypertrophy and chronic tonsillitis were randomly divided into two groups: tonsillectomy (n=75) and subtotal intracapsular tonsillectomy (n=87). Tonsillectomy: the tonsillar tissue was completely removed along with the tonsillar capsule. Subtotal intracapsular tonsillectomy: 80% to 90% of the tonsils and the complete epithelium of the tonsillar crypts were removed without damaging the tonsillar capsule. The Face, Legs, Activity, Cry, and Consolability (FLACC) and parents’ postoperative pain measure (PPPM) scales were used to evaluate postoperative pain, and the obstructive sleep apnea (OSA)-18 questionnaire was used to assess the children’s postoperative quality of life. The patients were followed-up for 2 years. 1. The FLACC and PPPM scales indicated that the children’s postoperative pain after subtotal intracapsular tonsillectomy was significantly less than that of children undergoing tonsillectomy. 2. The OSA-18 scale scores indicated that subtotal intracapsular tonsillectomy significantly improved the children’s quality of life. 3. Two years after subtotal intracapsular tonsillectomy, no patients required reoperation. Subtotal intracapsular tonsillectomy may be the first choice for tonsillar hypertrophy and chronic tonsillitis patients.
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