扁桃体切除术对患者主要生化指标的远期影响  

Long-term effects of tonsillectomy on main biochemical indicator in human

作　　者：张琳琳[1] 周永[1] 

机构地区：[1]广西医科大学第一附属医院耳鼻咽喉头颈外科,南宁530021

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第9期682-686,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：广西医疗卫生适宜技术研究与开发项目(No:S201414-02)

摘　　要：目的:对扁桃体切除术后10年以上的患者主要体检生化指标检测结果进行分析,了解扁桃体切除术对人体主要生化指标的长远影响。方法:对在年度健康体检人群中发现的扁桃体切除术超过10年的83例患者(研究组)进行记录,并与符合对照条件的无扁桃体切除史者进行配对。选取其中54对符合配对条件者和65例扁桃体患者,分别对患者(研究组)与非患者(对照组)之间、扁桃体患者不同手术年龄之间的主要生化指标进行统计分析,并对相关问题进行讨论。结果:(1)男性血红蛋白研究组高于对照组,分别是151.45±8.70和146.34±11.32,差异有统计学意义(P<0.05),但两者的均值都在正常范围内;女性血小板计数研究组高于对照组,分别是251.84±44.31和217.81±39.66,差异有统计学意义(P<0.05),两者的均值也都在正常范围内;其余研究组和对照组的各项指标比较均差异无统计学意义(均P>0.05)。(2)女性儿童组尿素水平中位数和四分位数间距低于成人组,差异有统计学意义(P<0.05),但两者的均值都在正常范围内;其余各项指标比较均差异无统计学意义(均P>0.05)。结论:扁桃体切除术对患者远期主要生化指标没有产生负面影响。Objective：To investigate the long-term effects of tonsillectomy on the general health of the patients receiving tonsillectomy over 10 years ago.Method：In the annual physical examination,83 patients who had undergone tonsillectomy more than 10 years ago and matched controls were recorded.Comparison was performed between the 54 matching pairs in terms of the major biochemical indexes.The 65 cases who underwent tonsillectomy were stratified according to the age when receiving surgery.And the related problems are discussed.Result：（1）In the comparison between the study group and the control group,the hemoglobin level of the male subjects in the study group was significantly higher than that in the control group（151.45±8.70 and 146.34±11.32,respectively,P〈0.05）.The mean values were in the normal range.The platelet count of female subjects in the study group was significantly higher than that in the control group（251.84±44.31 and 217.81±39.66,respectively,P〈0.05）.The mean values were also within the normal range.There was no statistically significant difference between the study group and the control group in other biochemical indicators（P〉0.05）.（2）The comparison between children group and adult group,the level of urea in the female children group was significantly lower than that in the adult group（P〈0.05）,but the mean value was in the normal range.There was no statistically significant difference in all the other indicators between the two groups（P〉0.05）.Conclusion：Tonsillectomy has no negative effects on the general health of the recipients in the long-term.

关 键 词：扁桃体切除术 主要生化指标 远期影响 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]