诊断标准用于选择患者进行美拉氏症麻醉手术:一个系统性审查
Joshua T Finerty1,2, Allison R Garden3,4, Joshua S Everhart5
1Department of Orthopaedic Surgery, Indiana University School of Medicine, 1801 North Senate Ave. Suit 400 Indianapolis, IN, 46204, United States. jfinerty87@gmail.com.
Neurosurgical review
|February 27, 2025
概括
诊断手术的美肌痛 (MP) 取决于患者的病史和对横侧大腿皮神经 (LFCN) 注射的反应. 这种方法有效地识别了手术候选人,并带来了积极的结果.
科学领域:
- 神经学 神经学
- 手术研究的研究.
背景情况:
- 麻醉症 (MP) 诊断缺乏标准化手术候选标准.
- 确定合适的外科候选人对于MP治疗的成功结果至关重要.
研究的目的:
- 审查文献,并确定MP手术候选人的共同诊断标准.
- 评估这些诊断标准对手术结果的影响.
主要方法:
- 对PubMed,MEDLINE和Google Scholar进行的MP手术结果研究的系统文献综述.
- 使用MINORS标准对21项研究 (616例手术病例) 的评估.
- 用于患者选择的诊断标准的比较.
主要成果:
- 患者病史 (100%),LFCN注射反应 (90%) 和脊髓成像 (57%) 是最常见的诊断标准.
- 在84.7%的病例中,获得了积极的外科治疗结果.
- 患者病史和LFCN注射是有效的诊断工具;EMG有助于排除其他疾病.
结论:
- 患者病史和积极的LFCN注射反应的结合是足够的诊断方法,用于识别将从手术中受益的MP患者.
- 电肌图 (EMG) 可以作为一种补充测试,以排除非MP诊断.
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