在垂体依赖库辛病的鼻腔和腔解剖变异
Baofeng Wang1, Yuhao Sun1, Qingfang Sun1,2
1Department of Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine.
The Journal of craniofacial surgery
|July 6, 2023
概括
患有库辛病 (CD) 的患者表现出明显的鼻腔和形解剖变异,包括更窄的鼻腔和更短的鼻间距离. 这些发现影响了脑垂体瘤的手术方法.
科学领域:
- 神经外科 神经外科
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
背景情况:
- 垂体依赖的库辛病 (CD) 涉及过度的上腺皮质增生激素分泌.
- 荷尔蒙失衡会导致软组织变化,可能会改变鼻腔和形体解剖学.
- 有限的数据存在于影响手术访问的CD患者的特定解剖变异.
研究的目的:
- 调查和量化库辛病患者鼻腔和状鼻的解剖学变异.
- 将这些尺寸与对照组进行比较,以确定显著差异.
- 评估这些变异对内外科手术的影响.
主要方法:
- 磁共振图像的回顾性放射分析.
- 包括97名库辛病患者和100名接受内外科手术的对照.
- 患者和对照组之间的关键鼻腔和形解剖尺寸的比较.
主要成果:
- 癌症患者的鼻腔高度较窄,中/下鼻宽度较小.
- 在CD患者中观察到轮酸盐与介质体尺寸的比率增加.
- 在CD患者中观察到较短的关节间距离和特定的状鼻气动化模式 (细胞后占主导地位).
结论:
- 库希病与鼻腔和状区域的显著解剖变异有关.
- 这些变化,特别是较短的关节间距离,可能会影响内外科手术的安全性和疗效.
- 神经外科医生必须意识到这些解剖学差异,以适应手术技术,以便安全进入部.
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