小儿鼻中隔成形术后的短期生活质量结果
Short-term quality of life outcomes following pediatric septoplasty.
作者信息
Lee Victoria S, Gold Rebecca M, Parikh Sanjay R
机构信息
a Department of Otolaryngology - Head and Neck Surgery, Division of Pediatric Otolaryngology , University of Washington and Seattle Children's , Seattle , WA , USA.
出版信息
Acta Otolaryngol. 2017 Mar;137(3):293-296. doi: 10.1080/00016489.2016.1229023. Epub 2016 Sep 19.
CONCLUSIONS
Pediatric septoplasty may be associated with short-term symptomatic benefit. This benefit may be greater in female patients and equally achievable in young patients and using less invasive surgical approaches.
OBJECTIVE
To determine the short-term effect of pediatric septoplasty, which is not routinely performed, on sinus and nasal-specific quality-of-life.
METHODS
This study is a retrospective case series of 28 pediatric patients that underwent septoplasty. Pre- and post-septoplasty SN-5 overall (mean of all five items, range = 1-7) and visual analog scale (VAS; range = 0-10) scores were obtained and compared using a Wilcoxon signed-rank test. Comparisons of pre- to post-septoplasty changes by sex (female vs male), age (<13 vs ≥13 years), and surgical approach (open vs closed) were performed using a Mann-Whitney U-test. Median and interquartile range are reported.
RESULTS
Overall and VAS scores significantly improved from pre- to post-septoplasty (3.5 [2.8, 4.3] to 2.0 [1.4, 2.8], p < .001; 5.0 [4.0, 6.3] to 8.0 [8.0, 10.0], p < .001). Females reported significantly greater overall and VAS score improvements compared to males (-1.8 [-2.6, -1.6] compared to -1.0 [-1.6, -0.2], p = .01; 5.0 [4.0, 5.0] compared to 3.0 [1.5, 4.0], p = .007). Comparisons of changes by age and surgical approach were not significantly different.
结论
小儿鼻中隔成形术可能带来短期症状改善。这种益处可能在女性患者中更大，并且在年轻患者中同样可以实现，同时采用侵入性较小的手术方法也能达到。
目的
确定小儿鼻中隔成形术（该手术并非常规进行）对鼻窦和鼻腔特定生活质量的短期影响。
方法
本研究是一项对28例接受鼻中隔成形术的小儿患者的回顾性病例系列研究。获取了鼻中隔成形术前和术后的SN-5总体评分（所有五项指标的平均值，范围为1 - 7）以及视觉模拟量表（VAS；范围为0 - 10）评分，并使用Wilcoxon符号秩检验进行比较。采用Mann-Whitney U检验对鼻中隔成形术前至术后按性别（女性与男性）、年龄（<13岁与≥13岁）和手术方式（开放式与封闭式）的变化进行比较。报告中位数和四分位间距。
结果
鼻中隔成形术后总体评分和VAS评分均显著改善（从术前的3.5[2.8, 4.3]降至术后的2.0[1.4, 2.8]，p <.001；从5.0[4.0, 6.3]升至8.0[8.0, 10.0]，p <.001）。与男性相比，女性报告的总体评分和VAS评分改善更为显著（分别为-1.8[-2.6, -1.6]与-1.0[-1.6, -0.2]，p =.01；5.0[4.0, 5.0]与3.0[1.5, 4.0]，p =.007）。按年龄和手术方式的变化比较无显著差异。
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