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目的评估同期行鼻腔手术对扁桃体切除和腭咽成形术后出血率的影响。方法回顾性调查分析2005年5月～2010年10月间,本院所有行扁桃体切除术和悬雍垂腭咽成形术并联合行鼻腔手术的患者的出血率。分析同期行鼻腔手术是否改变了扁桃体切除术和腭咽成型术患者术后的岀血率。结果本组病例共1 012例,其中204例同期行鼻腔手术。扁桃体切除术后出血共56例,发生率为5.5%。单纯行扁桃体切除术或行扁桃体切除术的悬雍垂腭咽成型术与同期行鼻腔手术的患者之间差异无统计学意义(分别为6.0%和3.9%;P=0.30)。结论扁桃体切除术和悬雍垂腭咽成型术同期行鼻腔手术没有增加术后出血比率,可不必分期手术,患者仅需一次麻醉和一次术后恢复过程,而无增加术后出血的危险。
Objective To evaluate the effect of nasal surgery on bleeding after tonsillectomy and velopharyngeal angioplasty in the same period. Methods A retrospective survey was conducted to analyze the bleeding rate of patients undergoing nasal surgery combined with tonsillectomy and uvulopalatopharyngoplasty in our hospital from May 2005 to October 2010. Analysis of the same period of nasal surgery has changed the tonsillectomy and velopharyngeal surgery in patients with hematuria rate. Results A total of 1 012 cases of this group of patients, of which 204 cases of simultaneous nasal surgery. A total of 56 cases of tonsillectomy hemorrhage, the incidence was 5.5%. There was no significant difference between patients undergoing simple tonsillectomy or tonsillectomy undergoing uvulopalatopharyngoplasty and concurrent nasal surgery (6.0 and 3.9%, respectively; P = 0.30). Conclusions Tonsillectomy and uvulopalatopharyngoplasty in the same period of nasal surgery did not increase the postoperative bleeding rate, which could eliminate the need for staging. The patient needed only one anesthesia and one postoperative recovery without increasing the risk of postoperative bleeding.