鼻中隔成形术的临床实践和疗效——2014-2023年瑞典11,714例手术的回顾性研究

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Laryngoscope Investigative Otolaryngology Pub Date : 2025-07-21 DOI:10.1002/lio2.70199

Ola Sunnergren, Cecilia Alexandersson, Anders Broström, Fredrik Eliasson, Mattias Jangard, Ylva Lilja, Amir Pakpour, Kristoffer Sandelin, Cecilia Ahlström-Emanuelsson

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引用次数: 0

摘要

虽然鼻中隔成形术经常用于鼻塞患者，但临床实践和现实结果的研究很少。本研究旨在描述临床实践，中隔成形术患者的特点，患者报告的结果和并发症，以及在一个综合的国家纵向数据库中成功结果的预测因素。方法纳入2014年至2023年间在瑞典中隔成形术质量登记（SQRS）中登记的所有18岁患者（n = 11,714）。多变量逻辑回归分析用于寻找成功结果的预测因子（即无或轻度自述鼻塞）。结果手术单位对临床操作有一定的影响。59.9%的患者报告了成功的结果。预测结果成功的因素是年龄较大、近期手术次数较多、单侧主观鼻塞、无夜间鼻塞和不吸烟。几乎四分之一的患者报告手术12个月后出现慢性并发症。结论瑞典鼻中隔成形术中存在着不必要的多样性，这说明缺乏最佳实践知识。患者报告的结果显示，在随访中，10名患者中只有6名没有或轻度鼻塞，这表明有改善的余地。证据级别4

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Clinical Practice and Outcome of Septoplasty—A Retrospective Study of 11,714 Surgeries in Sweden 2014–2023

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Clinical Practice and Outcome of Septoplasty—A Retrospective Study of 11,714 Surgeries in Sweden 2014–2023

Objectives

Although septoplasty is frequently performed in patients with nasal obstruction, studies on clinical practice and real-life outcomes are sparse. This study aimed to describe the clinical practice, characteristics of septoplasty patients, patient-reported outcomes and complications, as well as predictors for a successful outcome in a comprehensive national longitudinal database.

Methods

All patients, > 18 years of age, registered in the Swedish Quality Register for Septoplasty (SQRS) between 2014 and 2023 were included in the study (n = 11,714). A multivariate logistic regression analysis was used to search for predictors of a successful outcome (i.e., no or mild self-reported nasal obstruction).

Results

Clinical practice was influenced by the surgical unit. A successful outcome was reported in 59.9% of the patients. Predictors for a successful outcome were higher age, more recent surgery, unilateral subjective nasal obstruction, no nighttime nasal obstruction, and no smoking. Almost one in four patients reported a chronic complication from surgery after 12 months.

Conclusion

There is an unwarranted diversity in Swedish septoplasty practice, which illustrates a lack of knowledge of best practices. The patient-reported outcome, where only six of 10 patients had no or mild nasal obstruction at follow-up, indicates room for improvement.