在内淋巴囊手术后,术后后果的预测因素. 第1部分:临床和预后STROBE报告
A Derieppe1, K Bourget-Aguilar1, P Bordure1
1Service d'ORL et Chirurgie Cervico-Faciale, CHU de Nantes Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France.
概括
在Ménière的内淋巴囊手术 (ESS) 中.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 静脉管疾病 静脉管疾病
背景情况:
- 梅尼尔病 (Ménière's disease,简称MD) 是一种使人虚弱的内耳疾病.
- 对MD的医疗治疗对一些患者来说可能是无效的.
- 内淋巴囊手术 (ESS) 是耐火性MD的潜在手术选择.
研究的目的:
- 确定在Ménière病患者中预测ESS后结果的术前因素.
- 评估ESS在控制和保护听力方面的有效性.
主要方法:
- 对38名单边MD患者进行了回顾性单中心研究,这些患者对医疗治疗有抗药性.
- 患者在2015年至2022年期间接受了ESS.
- 评估结果包括控制,听力保护和手术后2年的生活质量.
主要成果:
- 在63%的患者中实现了显著的控制.
- 没有发现对控制头或改善生活质量的术前预测因素.
- 听力结果 (纯音调和语音听力测量) 在2年后仍然存在.
- 手术技术 (切割与非切割的内淋巴囊) 并没有显著影响结果.
结论:
- 没有发现ESS成功的术前预测因素.
- ESS是一种可行的保守的二线手术治疗MD.
- 对于ESS的指示包括双边的MD或MD在听力受保护的患者中.
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