喉电肌图作为一个预测因素在单边复发性后甲状腺切除术的演变
Shirley Tarabichi1,2, Codrut Sarafoleanu1,2
1Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 20021 Bucharest, Romania.
Journal of clinical medicine
|February 26, 2025
概括
喉电肌图 (LEMG) 可以预测甲状腺手术后的声带恢复. 甲状腺肌肉中的自发电活动表明,对于复发的喉神经麻的预后不佳.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 外科手术的结果
背景情况:
- 听力障碍是甲状腺切除术后的常见并发症,通常与重复的喉神经损伤有关.
- 喉电力学 (LEMG) 是一种诊断方法,用于区分与神经相关的听力障碍与其他原因.
- 甲状腺手术后单侧声麻 (UVFP) 需要患者管理的预后工具.
研究的目的:
- 评估喉电动图 (LEMG) 在预测甲状腺切除术后单边复发性喉神经麻的恢复中的有效性.
- 建立LEMG作为甲状腺手术后声功能预后指标.
主要方法:
- 包括11名被诊断患有单侧声麻 (UVFP) 通过视频喉镜 (VSL) 甲状腺切除术后的患者.
- 使用喉电动图 (LEMG) 评估甲状腺 (TA) 肌肉的电活动.
- 基于自发活动和运动单元招募模式的分类损伤预后 (优秀,公平,差).
主要成果:
- 最初的LEMG表明3名患者的预后很好,3名患者的预后很好,5名患者的预后很差.
- 在6个月后,预后不佳的患者没有出现改善;预后良好的病例显示LEMG正常,招募增加.
- 公平预后病例的结果各不相同,一些病例的招聘率下降,另一些病例的LEMG正常.
结论:
- LEMG的发现与声带功能恢复相关,自发活动是负的预后因素.
- 甲状腺肌肉中自发电活动的存在表明,声恢复的结果较差.
- 需要对更大的队列进行进一步的研究,以确定LEMG作为喉功能恢复的预后工具的最终灵敏度.
相关概念视频
01:15Myasthenia Gravis: Diagnostic Tests
600
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
600
01:21Larynx
1.2K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.2K
01:20Myasthenia Gravis: Overview and Treatment
1.1K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.1K