难以治疗的Ménière病的演变:攻击随着时间的推移而消失
F R Gerritsen1,2, A A Schenck1,2, H Locher2,3
1Department of Otorhinolaryngology, Haga Hospital, The Hague, Netherlands.
Frontiers in neurology
|November 8, 2024
概括
大多数是Ménière的.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临床医学 临床医学
背景情况:
- 了解梅尼尔病 (MD) 的自然过程对于治疗决策至关重要.
- 在MD中头发作的长期演变是有争议的.
- 北欧的保守手术方法需要严格的患者选择.
研究的目的:
- 在患有难以治愈的梅尼尔氏病的患者中调查发作的自然时间过程.
- 为了评估被考虑但没有接受手术的患者的症状演变.
主要方法:
- 在一个专家的Ménière疾病中心进行了回顾性队列研究.
- 包括确定的单边MD和持续的患者,尽管注射了入耳内类固醇.
- 通过患者档案和随访电话采访收集数据,评估发作的演变.
主要成果:
- 分析了35名患者,71%的人拒绝了手术.
- 有完整数据的患者中有64% (n=33) 在平均5.3年后没有头.
- 接受手术的患者的疾病持续时间比未接受手术的患者更长.
结论:
- 可吸收的Ménière病患者经常经历随着时间的推移自发的症状缓解.
- 非废除性疗法的疗效仍在争论中,废除性干预措施存在风险.
- 由于潜在的长期副作用,需要仔细考虑任何积极干预措施.
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