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題名 | 單純性中耳炎之門診手術=Outpatient Surgery of Simple Otitis Media |
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作者 | 黃致仰; 賴仁淙; Huang, Chi-yang; Lai, Jen-tsung; |
期刊 | 中華民國耳鼻喉科醫學會雜誌 |
出版日期 | 19980400 |
卷期 | 33:2 1998.04[民87.04] |
頁次 | 頁45-49 |
分類號 | 416.821 |
語文 | chi |
關鍵詞 | 門診; 鼓室成形術; 日間留院; Outpatient; Tympanoplasty; Day-stay; |
中文摘要 | 背景:門診手術因減少病人生活、工作的影響而受到歡迎。本文將報告門診鼓室 成形術的經驗並評估門診鼓室成形術的安全性及成效。 方法:本科對於符合:最近3個月不曾耳漏、無引起中耳炎特殊疾病、無局部麻醉禁忌、 居住醫院附近病人,建議門診接受鼓室成形術。回溯18個月中,有完整追蹤,共門診接受 鼓室成形術93例。麻醉方式以局部注射無其它輔助靜脈或肌肉麻醉藥物注射,術後口服抗 生素。另取因個人因素住院手術64例(1-7天,2.40±1.53天),比較分析術後結果、手術 及麻醉併發症。 結果:兩組年齡、術前平均聽力、平均氣骨間差距p值皆大於0.05,故兩組可視為來自 同母群體。以卡方檢定的費歇恰當檢定檢驗住院組90.3%(84/93)與門診組90.6%(58/64) 耳膜修補成敗,顯示修補成敗不因是否住院而變化(p=0.589,無顯著差異)。併發症:大部 份病人對治療過程感到滿意,無重大併發症。 結論:在適當選擇下,門診手術方式鼓室成形術,是安全、有效的。(中耳醫誌 1998; 33:143-147。) |
英文摘要 | Background: Patients welcome outpatient surgery due to minimal disruption to their working and domestic life. This paper presents our experience of formal outpatient tympanoplasty and evaluate the safety and effectivity of tympanoplasty as an outpatient procedure. Methods: Tympanoplasty as an outpatient procedure was arranged for the following criteria:no otorrhea within 3 months, no systemic underlying diseases, no contraindication of local anesthesia, living near our hospital. The record of 93 cases underwent outpatient tympanoplasty and 64 cases underwent hospitalized (2.40±1.53 day, 1-7 day) tympanoplasty were reviewed during a 18 months period. Operation was performed under local infiltrating anesthesia. Oral antibiotics were given for 7 days. We analysis the relationship of successful rate and complication between these two groups. Results: Outpatient groups are compared with hospitalized group, matched for age (p=0.7536), preoperation hearing (p=0.2742) and preoperation air-bone gap(p=0.7145). The successful rate was 90.3% (84/93) in the outpatient group and 90.6% (58/64) in admission group (no significant difference, p=0.589). No major complication was noted and most of patient satisfied with outpatient tympanoplasty. Conclusions: Outpatient tympanoplasty is safe and effective in well selected patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。