日本耳植入器的临床特征以及影响术后感染的因素
Megumi Koizumi1, Akinori Kashio2, Miho Ishimaru3
1Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan. 7-3-1 Hongo Bunkyo-ku, Tokyo, Japan; Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan. 7-3-1 Hongo Bunkyo-ku, Tokyo, Japan.
Auris, nasus, larynx
|October 8, 2025
概括
这项研究分析了日本的耳植入趋势,发现同时进行双侧手术的增加和4.8%的感染率. 在接受耳植入物治疗的儿科和成人患者之间,感染的风险因素有所不同.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 公共卫生 公共卫生
背景情况:
- 耳植入是听力损失的关键治疗方法.
- 了解临床趋势和并发症对于优化患者治疗结果至关重要.
- 日本国家数据为耳植入实践提供了独特的视角.
研究的目的:
- 评估日本耳植入器的临床特征.
- 评估同时进行双边耳植入的发生率.
- 确定与手术后感染并发症相关的比例和因素.
主要方法:
- 使用日本国家住院患者数据库进行的回顾性队列研究 (2010年7月-2021年3月).
- 在7893名患者中分析了9427个耳植入物.
- 多变量逻辑回归用于识别与术后感染相关的因素.
主要成果:
- 自2017年以来,在耳植入病例中,从儿科到成人占主导地位的转变.
- 自2016年以来,同时进行双边耳植入的发病率增加.
- 整体术后感染率为4.8%;儿童 (年轻年龄,内耳形,中等医院容量) 和成人 (慢性中耳炎,糖尿病) 患者的风险因素不同.
结论:
- 患者年龄和同时进行手术的趋势与修订后的指南保持一致.
- 4.8%的感染率强调了需要保持警的必要性.
- 儿科和成人耳植入物接受者手术后感染的不同风险因素需要定制的管理策略.
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