目的:这项研究是比较远晚期耳硬化症(FAO)患者的stapes骨手术和人工耳蜗植入(CI)的听力结果和并发症。
方法:PubMed/MEDLINE的全面电子搜索,Scopus,WebofscienceandCochraneLibrary于2021年6月进行了文献研究,直到今年为止。
方法:研究以英语出版,在人类受试者上进行,关注CI和stapes骨手术在粮农组织管理中的比较,不是实验室研究,也不是意见研究。当前的审查遵循了2009年系统审查和荟萃分析声明(PRISMA)的首选报告项目指南。
方法:纳入了26项研究,其中CI组334例患者,stapes骨手术组241例患者。两组在术后并发症方面进行比较,听力学结果,翻修手术和患者满意率。
结果:术后并发症发生率在CI(13.6%)明显低于stapes骨手术(18.6%)。CI的翻修手术率(8.1%)明显低于stapes骨手术(16.4%)。CI的纯音平均值(29.1dB)比stapedometion切除术(52.3dB)更好,而stapes骨手术对单音节和双音节的识别平均值高于CI。CI的满意率明显高于stapes骨手术。
结论:对于FAO,Stapes手术和CI都是可靠的治疗选择,成功率接近。CI的统计数据大于stapes骨手术,并且与stapes骨手术相比,CI在听力测量结果方面具有一致的改善。
OBJECTIVE: This
study is to compare the hearing outcomes and complications of stapes surgery and cochlear implantation (CI) in patients with far-advanced otosclerosis (FAO).
METHODS: A comprehensive electronic search of PubMed/MEDLINE, Scopus, Web of science and Cochrane Library was conducted in June 2021 for articles in the literature till this year.
METHODS: Studies are published in English language, conducted on human subjects, concerned with comparison of CI and stapes surgery in the management of FAO, not Laboratory
study and not Opinion
study. The current review followed the guidelines of preferred reporting items for systematic reviews and meta-analysis statement 2009 (PRISMA).
METHODS: Twenty-six studies were included with 334 patients in CI group and 241 patients in stapes surgery group. Comparison between both groups was done in terms of postoperative complications, audiological outcomes, rete of revision surgery and patients\' satisfaction rate.
RESULTS: Postoperative complications rate was significantly lower in CI (13.6%) than stapes surgery (18.6%). CI had a significantly lower rate of revision surgery (8.1%) than stapes surgery (16.4%). CI had a better mean for pure tone average (29.1 dB) than
stapedectomy (52.3 dB) while stapes surgery had a higher mean for recognition of monosyllables and disyllables than CI. CI had significantly higher satisfaction rate than stapes surgery.
CONCLUSIONS: Both Stapes surgery and CI are reliable treatment options for FAO with close success rates. Statistics of CI are greater than stapes surgery and CI has a consistent improvement in audiometric outcomes in comparison to stapes surgery.