11例HIV感染者和艾滋病患者行扁桃体切除术的临床观察

Clinical observation of tonsillectomy in 11 HIV/AIDS patients

目的探讨HIV感染者和艾滋病患者(HIV/AIDS)行扁桃体切除术的临床疗效。方法收集北京佑安医院2009年11月至2016年12月收治的11例行扁桃体切除术的HIV/AIDS患者的病历资料,观察术中出血量、术后出血情况,术后疼痛持续时间及术后疗效。结果 11例患者均为男性,平均年龄(26.1±9.0)岁。术中中位出血量20(5~50)ml;术后1例患者发生出血,术后疼痛中位时间14(10~30)d。随访半年,10例患者治愈,1例患者好转。结论 HIV/AIDS合并慢性扁桃体炎患者可在严格掌握手术适应证的情况下实施扁桃体切除手术,疗效肯定。

Objective To explore the clinical efficacy of tonsillectomy in HIV/AIDS patients. Methods Clinical records of 11 HIV/AIDS patients with tonsillectomy were obtained from Nov. 2009 to Dec. 2016 in Beijing You＇ an Hospital. The observation index included surgery efficacy, hemorrhage during operation and postoperation, postoperative pain. Results All patients were male, and the average age was （26.1±9.0） years old. The median intraoperative blood loss was 20 （5-50）ml, postoperative bleeding occurred in 1 case, median postoperative pain duration was 14 （10-30）d. After six month follow-up, 11 patients were cured, 1 patients were getting better. Conclusion Under strict indication, tonsillectomy is an effective surgical treatment for chronic tonsillitis in HIV/AIDS patients.