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耳:在半面的微血管减压后报告的情况不足

Lina B M Albakri¹, Lilian M Mennink², Katalin Tamasi^2,3

¹Department of Neurosurgery, University Medical Center Groningen, PO BOX 30001, 9700RB, Groningen, The Netherlands. L.B.M.ALBAKRI@UMCG.NL.

Acta neurochirurgica

|May 8, 2024

概括

耳会影响36%的患者在微血管减压后对半面发作. 手术前的耳是手术后发展这种情况的重要预测因素.

科学领域:

神经外科神经外科
耳鼻喉科耳鼻喉科耳鼻喉科
听力学听力学是指听力学.

背景情况:

微血管减压 (MVD) 是半面 (HFS) 的首要治疗方法.
听力损失是MVD对HFS的一个公认的并发症.
耳是HFS的MVD后报告不足的并发症.

研究的目的:

为了确定HFS的MVD后的耳声的流行,特征和严重程度.
为了识别HFS中发生MVD后耳发育的预测因素.

主要方法:

在手术后大约5年,对55名接受MVD的HFS患者进行了调查.
收集的数据包括耳的存在,侧面,类型,发作和严重程度 (视觉模拟量表).
统计分析包括描述性,相关性和后勤回归.

主要成果:

36%的患者报告了手术后的耳声,比手术前的16%增加.
新出现的耳声往往是外科手术侧的双侧耳声.
手术前的耳声是术后耳声的唯一显著预测因素 (p=0.011).

结论:

耳是一种常见的,中度严重的并发症,在HFS的MVD之后.
手术后耳的确切原因尚不清楚,但可能与听力损失机制有关.
临床医生应对MVD后的耳进行监测,以优化患者的治疗结果.

关键词:

一半面部的.微血管减压的方法是微血管减压.生活质量生活的质量.声 (Tinnitus) 是一种听力障碍.

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