Subramaniam K, Eikelboom R H, Marino R, Atlas M D, Rajan G P
School of Surgery and Pathology, The University of Western Australia, Australia.
Clin Otolaryngol. 2006 Aug;31(4):273-9. doi: 10.1111/j.1749-4486.2006.01237.x.
To determine the quality of life (QOL) after stapes surgery and whether audiological parameters for hearing correlate with specific QOL factors.
A retrospective cross-sectional study.
A tertiary referral centre.
A series of 35 patients who underwent stapes surgery of which three were excluded because they were <18 years of age, chronically or mentally ill, or in a dependant relationship. Response rate was 93% (30/32). Nine were further excluded because they had revision or bilateral surgery, or missing data. Twenty-one patients were included in this study.
The Glasgow Benefit Inventory (GBI) was used to evaluate general QOL and the Hearing Disability and Handicap Scale (HDHS) was used as a disease-specific measure. The Belfast Rule of Thumb and Glasgow Benefit Plot assessed hearing outcomes.
Operative success was 86% using the Belfast Rule of Thumb and 95% had closure of the air-bone gap to within 20 dB. 81.8% of patients reported a better overall QOL as surgery. Glasgow Benefit Inventory Social and GBI Physical scores correlated positively with the HDHS speech component (P < 0.05). The duration of hearing loss correlated inversely with the average HDHS score (P < 0.05).
The majority of patients report a better QOL as undergoing stapes surgery. Speech impacts on people's physical and social QOL of patients. Quality of life tools, in addition to objective audiologic measurements can provide clinicians with patients' subjective perspective that helps guide clinical decision-making and counselling.
确定镫骨手术后的生活质量（QOL），以及听力的听力学参数是否与特定的生活质量因素相关。
一项回顾性横断面研究。
一家三级转诊中心。
一系列35例行镫骨手术的患者，其中3例因年龄<18岁、患有慢性或精神疾病或处于依赖关系而被排除。应答率为93%（30/32）。另外9例因接受翻修手术或双侧手术或数据缺失而被排除。本研究纳入21例患者。
使用格拉斯哥获益量表（GBI）评估总体生活质量，使用听力残疾与障碍量表（HDHS）作为疾病特异性指标。使用贝尔法斯特经验法则和格拉斯哥获益图评估听力结果。
根据贝尔法斯特经验法则，手术成功率为86%，95%的患者气骨导差缩小至20 dB以内。81.8%的患者报告手术使总体生活质量得到改善。格拉斯哥获益量表社会和身体得分与HDHS言语部分呈正相关（P<0.05）。听力损失持续时间与HDHS平均得分呈负相关（P<0.05）。
大多数患者报告接受镫骨手术后生活质量得到改善。言语对患者的身体和社会生活质量有影响。除客观的听力学测量外，生活质量工具还可为临床医生提供患者的主观观点，有助于指导临床决策和咨询。
