Stapes surgery in Sweden: evaluation of a national-based register.
Stapes surgery in Sweden: evaluation of a national-based register.
复制标题
DOI：
10.1007/s00405-017-4510-2
复制
发表时间：
2017-06
期刊：
影响因子：
--
通讯作者：
Dahlin-Redfors Y
中科院分区：
文献类型：
--
作者：
Strömbäck K;Lundman L;Bjorsne A;Grendin J;Stjernquist-Desatnik A;Dahlin-Redfors Y
国家质量登记处的目的是监督向患者提供的医疗保健的结果。瑞典耳硬化症手术质量登记处是瑞典九个正式的耳鼻喉疾病国家登记处之一。自2004年以来，手术和听力学结果以及患者满意度评分已系统地收集自瑞典大多数进行砧骨手术的耳、鼻和喉诊所。在2004至2010年间，共26家诊所中，有24家诊所接受了距骨手术，对接受耳硬化症一次手术的1688名患者的结果进行了评估。已报道的最常见的外科技术是在夜间完成的椎骨切开术。大多数患者的听力有了改善，对术前咨询感到满意。手术成功的患者中69%的患者ABG闭合≤为10分贝/HL，AC改善≥20分贝为63%，BC未恶化超过≥5分贝者为93%。据报道，术后并发症的发生率总体较低。ABG和BC的结果被证明与每个诊所进行的手术次数无关。对注册记录和SQOS结果的评估表明，在全国范围内，砧骨手术是一种安全的手术方式，听力效果好，并发症发生率低，患者满意率高。
The aim of the National Quality Registries is to monitor the outcome of healthcare given to patients. The Swedish Quality register for otosclerosis surgery is one of the nine official national registers for ear, nose and throat diseases in Sweden. Since 2004, surgical and audiological results and patient satisfaction scores have been systematically collected from a majority of the ear, nose and throat clinics performing stapes surgery in Sweden. The results of 1688 patients who underwent primary operations for otosclerosis were evaluated for 24 out of totally 26 clinics performing stapes surgery, between 2004 and 2010. The most common surgical technique reported was stapedotomy accomplished in an overnight stay. A majority of patients experienced improved hearing, and were satisfied with the preoperative counselling. Successful surgery, defined as an ABG closure ≤10 dB HL, was achieved in 69%, improvement in AC by ≥20 dB in 63% and BC not worsened by more than ≥5 dB in 93% of the patients. An overall low incidence of postoperative complications was reported. The outcome for ABG and BC was demonstrated to be independent of the number of operations performed by each clinic. An evaluation of the register and the results from the SQOS revealed that stapes surgery is a safe procedure with good hearing outcomes, low complication rates and a high rate of patient’s satisfaction on a national level.