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An Implantable System For Chronic In Vivo Electromyography
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喉电肌图的技术挑战

R Jun Lin1, Michael C Munin2, Michael Belsky3

  • 1Department of Otolaryngology - Head & Neck Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

The Laryngoscope
|September 7, 2023
PubMed
概括
此摘要是机器生成的。

喉电肌图 (LEMG) 对于声麻 (VFP) 诊断通常是耐受良好的. 然而,具有挑战性的解剖学和患者不耐受性可能会影响临床医生对LEMG结果的信心.

关键词:
在LEMGG,你会发现.喉电力学图 喉电力学图技术 技术 技术 技术 技术

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科学领域:

  • 耳鼻喉科 耳鼻喉科 耳鼻喉科
  • 神经学 神经学
  • 诊断医学 诊断医学 诊断医学

背景情况:

  • 喉电肌图 (LEMG) 是评估声麻 (VFP) 的关键诊断工具.
  • 影响LEMG性能和可靠性的因素需要进一步调查.

研究的目的:

  • 确定导致执行LEMG.G的困难的因素.
  • 评估这些因素对临床医生的信心和诊断实用性的影响.

主要方法:

  • 接受LEMG的亚急性单边VFP患者的未来招募.
  • 收集人口统计数据 (BMI,之前的部手术),患者报告的疼痛 (VAS),以及临床医生评估的程序难度和信心.
  • 两变量分析与程序难度和疼痛相关的因素.

主要成果:

  • 纳入了111名患者;平均BMI为28.5,平均VAS疼痛得分为35.
  • 31.2%的测试是"非常容易的",而36.7%的测试是"中度"或"极具挑战性".
  • 表面解剖学 (50.5%) 和患者不耐受 (15.6%) 是常见的挑战. 之前的部手术与更高的疼痛分数相关 (p=0.02).

结论:

  • 一般来说,LEMG的耐受性很好,但存在程序性挑战.
  • 当程序更容易执行时,临床医生对LEMG结果的信心更高.
  • 困难的表面解剖学和患者不耐受性会对将LEMG发现纳入临床决策产生负面影响.