中耳胆脂瘤手术中采用 STAMCO、ChOLE 和 SAMEO-ATO 分类的围手术期并发症的相关性。
Correlation between peri-operative complication in middle ear cholesteatoma surgery using STAMCO, ChOLE, and SAMEO-ATO classifications.
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, University of Genoa, largo Rosanna Benzi 10, 16132, Genoa, Italy.
Department of Health Sciences, Section of Biostatistics, IRCCS Ospedale Policlinico San Martino, University of Genoa, 16132, Genoa, Italy.
出版信息
Eur Arch Otorhinolaryngol. 2022 Feb;279(2):619-626. doi: 10.1007/s00405-021-06679-8. Epub 2021 Feb 22.
PURPOSE
To compare the relationship between the variable "complication" and the other variables of middle ear cholesteatoma classifications (STAMCO, ChOLE, and SAMEO-ATO).
METHODS
Retrospective study of 110 patients that underwent 132 middle ear surgeries between the 1 January 2012 and the 31 December 2019 for chronic otitis with cholesteatoma classified according to STAMCO, ChOLE, and SAMEO-ATO classifications in a tertiary health care centre.
RESULTS
Older age, male gender, STAMCO-T, and SAMEO-ATO [O, T, O, (s -)] and mastoid involvement (STAMCO-M and ChOLE-Ch) were associated with an increased risk of complication report.
CONCLUSIONS
In our series, statistical analysis pointed out a relationship between surgical complications and age, gender, site, mastoidectomy type, and ossicular chain status at surgery. The choice of variables to be recorded for cholesteatoma staging should be carefully balanced, considering that "complication" variable could be a repetitive item.
目的
比较“并发症”这一变量与中耳胆脂瘤分类（STAMCO、ChOLE 和 SAMEO-ATO）中其他变量之间的关系。
方法
对 2012 年 1 月 1 日至 2019 年 12 月 31 日期间在一家三级医疗机构接受慢性中耳炎伴胆脂瘤手术的 110 例患者（132 例中耳手术）进行回顾性研究，这些患者根据 STAMCO、ChOLE 和 SAMEO-ATO 分类进行分类。
结果
年龄较大、男性、STAMCO-T 和 SAMEO-ATO [O、T、O、(s -)]以及乳突受累（STAMCO-M 和 ChOLE-Ch）与并发症报告风险增加相关。
结论
在我们的研究中，统计分析指出手术并发症与年龄、性别、部位、乳突切除术类型以及手术时听骨链状态之间存在关系。在进行胆脂瘤分期时，应仔细权衡要记录的变量选择，因为“并发症”变量可能是一个重复项。
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