在有听力损失的儿童中评估耳基底旋转度
Marina Aramendi1, Mariana Raviolo2, Ina Sorge3
1Research Assistant at the Universitätsklinikum Leipzig, Leipzig, Germany. marinaaramendi@gmail.com.
概括
耳基底转向通透率 (CBTP) 不能可靠地预测手术内脑脊液喷. 需要进一步的研究来确定这种手术并发症的其他促成因素.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 放射学 放射学是一门学科.
背景情况:
- 内手术中CSF喷,脑脊液 (CSF) 的突发泄漏,可能是由于耳基础转向通透性 (CBTP) 而发生的.
- 由于缺乏成熟的成像技术,预测手术内脑脊髓液喷仍然具有挑战性.
研究的目的:
- 确定CBTP在有或没有听力损失的儿科患者的患病率,幅度和解剖学变异.
- 评估CBTP与手术内CSF喷发的发生之间的关联.
主要方法:
- 对165名儿科患者 (330只耳朵) 的高分辨率CT扫描和医疗记录进行了回顾性审查.
- 患者被分为听力损失和对照组.
- 使用多平面重建测量了CBTP的存在和大小;记录了手术内CSF喷出的发生率,并与CBTP宽度相关联.
主要成果:
- 在44.2%的耳朵中存在CBTP,两组之间没有显著差异 (p=0.06).
- 在5.1%的病例中发生了手术内CSF喷,特别是在内耳形 (27.3%) 的耳朵中更高.
- 超过0.75毫米的CBTP没有预测手术内CSF喷射 (p=0.55);扩大的前庭水道是喷射患者的显著形 (p<0.01).
结论:
- 在手术期间的脑脊液喷需要可靠的成像预测器.
- 仅CBTP就不足以预测外科手术中脑脊髓液喷发,这表明其他因素也参与其中.
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