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NiTiBOND与SMart镍钛合金假体在镫骨手术中的长期听力结果——一项回顾性队列研究

Long-Term Hearing Outcomes of NiTiBOND versus SMart Nitinol Prostheses in Stapes Surgery-A Retrospective Cohort Study.

临床研究耳科IF 1.3Q3

文献信息

中文摘要

背景: 对使用不同热记忆镫骨假体的两组患者进行镫骨切开术后长期听力结果的统计分析。
方法: 一项回顾性研究,纳入42例接受镫骨切开术并使用NiTiBOND(n=25)或SMart Nitinol(n=17)热形状记忆假体的患者。采用单因素和多因素分析评估统计学差异。成功定义为术后气骨导差(ABG)≤ 10 dB。P值 < .05被认为具有统计学意义。
结果: NiTiBOND和Nitinol的听力学结果分别在术后平均7.3年和13.4年时进行测量。术后ABG平均为5.18 ± 5.59 dB和4.71 ± 5.02 dB;两组之间未观察到统计学显著差异。3例术后ABG >10 dB的患者接受了高分辨率计算机断层扫描,但均未显示明显的病理改变。
结论: 该研究表明两种假体均具有极佳的听力学结果,并且似乎在长期内保持稳定。

英文摘要

BACKGROUND: Perform a statistical analysis of the long-term hearing results for 2 groups after stapedotomy using different heat-memory stapes prostheses.
METHODS: A retrospective study of 42 patients who underwent stapedotomy using either NiTiBOND (n=25) or SMart Nitinol (n=17) thermal shape memory prostheses. Statistical differences were assessed with univariate and multivariate analysis. Success was defined as a postoperative air-bone gap (ABG) ≤ 10 dB. A Pvalue < .05 was considered statistically significant.
RESULTS: The audiological outcomes were measured at an average of 7.3 and 13.4 years postoperatively for NiTiBOND and Nitinol, respectively. The postoperative ABG was a mean of 5.18 ± 5.59 dB and 4.71 ± 5.02 dB; no statistically significant difference was observed between the groups. Three patients achieving >10 dB postoperative ABG underwent high-resolution computed tomography, but none showed noticeable pathological changes.
CONCLUSION: The study demonstrated excellent audiological outcomes with both prostheses and appears to be stable in the long term.