手术前的cVEMP结果预测在静脉瘤手术后会出现长时间的头
Masafumi Ueno, Makoto Hosoya, Marie N Shimanuki
1Department of Otorhinolaryngology, Head and Neck Surgery, Keio University School of Medicine.
概括
正常的手术前宫前置唤起肌原潜力 (cVEMP) 测试结果预测前置神经瘤手术后的长时间头. 异常的cVEMP表明在前体 schwannoma 切除后持续头的风险较低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学神经系统学
- 神经外科 神经外科
背景情况:
- 静脉瘤切除可以导致长期的术后头.
- 预测这种结果对于患者管理和咨询至关重要.
研究的目的:
- 为了确定前手术因素,特别是前体功能测试,与前体 schwannoma 切除后的长期头相关.
主要方法:
- 一项回顾性队列研究,涉及45名接受前体瘤切除术的患者.
- 评估了手术前前庭功能测试 (cVEMP,热量测试) 和HADS得分.
- 根据术后头障碍库存 (DHI) 得分将患者分组为组.
主要成果:
- 31%的患者在术后经历了长时间的头.
- 长期头组中异常cVEMP结果的频率明显较小 (7.1%对42%).
- 术前cVEMP结果是术后DHI得分的唯一显著预测因素 (OR = 9.39,p < 0.05).
结论:
- 正常的手术前cVEMP结果与前置神经瘤切除后出现长期头的可能性更高.
- 手术前的cVEMP测试可以帮助预测术后的头,从而允许更好的患者咨询和管理.
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