女性患者单侧声麻的病理生理机制:超声波研究
Yi-An Lu1,2, Yun-Chen Tsai3, Wan-Ni Lin1
1Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Clinical and experimental otorhinolaryngology
|October 19, 2023
概括
喉超声波 (LUS) 可以评估声麻的严重程度. 颜色多普勒振动长度 (CDVL) 和正常化声声长度变化 (nPLC) 与肌肉活动相关,有助于理解单侧声麻 (UVFP) 的病理生理学.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 诊断成像 诊断成像 诊断成像
- 神经学 神经学
背景情况:
- 单侧声麻 (UVFP) 的诊断和严重程度评估可能具有挑战性.
- 喉超声波 (LUS) 是一种用于评估UVFP的非侵入性工具.
- 了解UVFP的病理生理机制对于有效的管理至关重要.
研究的目的:
- 使用LUS和定量喉电肌学 (LEMG) 调查UVFP的病理生理机制.
- 在女性UVFP患者中探索LUS参数和LEMG发现之间的相关性.
主要方法:
- 一项涉及40名UVFP女性患者的横截面研究.
- 用B模式LUS (休息和发声VF长度) 和彩色多普勒模式 (CDVL) 来测量声段 (VF) 长度参数.
- 进行量化LEMG以评估肌肉活动,包括转动频率和转动比率.
主要成果:
- 在没有甲状腺 (CT) 干涉的患者中,CDVL与甲状腺-侧面甲状腺 (TA-LCA) 转变频率相关.
- 在CT参与的患者中,正常化的胎儿声长变化 (nPLC) 与CT肌肉转动比率相关.
- 这些发现表明了超声波衍生的长度参数和电肌图学活动之间的关系.
结论:
- CDVL和nPLC是有价值的LUS参数,用于预测不同类型UVFP的肌肉活动.
- LUS可以作为评估喉神经损伤严重程度的非侵入性替代方案.
- LUS提供了对UVFP病理生理学的见解,补充了LEMG.
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