Analysis of risk factors for re-operation due to postoperative haemorrhage following coblation-assisted tonsillectomy
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摘要: 目的 探讨扁桃体低温等离子射频消融术后出血再手术的危险因素。方法 收集135例于2015年1月—2022年5月期间行扁桃体低温等离子射频消融术后出血患者的临床资料，根据是否再行手术治疗，将135例患者分为手术治疗组(43例)和保守治疗组(92例)，对两组患者的临床资料进行对比分析。结果 单因素分析结果显示两组患者性别、年龄、术后静脉使用糖皮质激素、伴随糖尿病及高血压病方面比较差异无统计学意义(P>0.05)，单因素及多因素分析结果显示两组患者在出血时间、检查有明确活动性出血点方面比较差异有统计学意义(P < 0.05)。结论 出血时间早、检查有明确活动性出血点是扁桃体低温等离子射频消融术后出血再手术的独立危险因素。
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关键词:
- 低温等离子射频消融术 /
- 扁桃体切除术 /
- 出血 /
- 再手术
Abstract: Objective To investigate the risk factors for re-operation due to postoperative haemorrhage following coblation-assisted tonsillectomy.Methods The clinical data of 135 patients with haemorrhage after coblation-assisted tonsillectomy in our hospital from January 2015 to May 2022 were collected, According to the patients received reoperation after tonsillectomy or not, all patients were divided into the reoperation group (n=43) and non-reoperation group (n=92), clinical data were compared between the two groups.Results Univariate analysis showed that there was no significant difference in gender, age, postoperative intravenous glucocorticoid use, diabetes and hypertension between the two groups(P>0.05), Univariate and multivariate factor analyses showed that early haemorrhage, obvious hemorrhage points were independent risk factors for re-operation due to postoperative haemorrhage(P < 0.05).Conclusion Early haemorrhage and obvious hemorrhage points are independent risk factors for re-operation due to postoperative haemorrhage following coblation-assisted tonsillectomy.-
Key words:
- low temperature plasma radiofrequency ablation /
- tonsillectomy /
- hemorrhage /
- reoperation
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表 1 扁桃体低温等离子射频消融术后出血再手术相关危险因素的单因素分析
因素 手术治疗组
(n=43)保守治疗组
(n=92)P值 性别/例 0.083 男 31 52 女 12 40 年龄/[岁，M(Q1，Q3)] 18(10，33) 13(6，31) 0.201 出血时间/[d，M(Q1，Q3)] 7(4，10) 8(7，10) 0.004 有明确的活动性出血点/例 < 0.001 有 41 24 无 2 68 糖尿病/例 0.319 是 1 0 否 42 92 高血压病/例 1.000 是 1 3 否 42 89 糖皮质激素使用/例 0.076 是 9 9 否 34 83 
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表 2 扁桃体低温等离子射频消融术后出血再手术相关危险因素的多因素logistic回归分析
因素 回归系数(B) P值 Wald OR值 性别 0.725 0.198 1.659 2.065 年龄 -0.005 0.781 0.078 0.995 出血时间 -0.139 0.031 4.629 0.870 明确的活动性出血点 4.059 < 0.001 26.664 57.926 糖尿病 21.850 1.000 < 0.001 3086938731 高血压病 -0.965 0.509 0.436 0.381 糖皮质激素使用 -0.160 0.829 0.047 0.852
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