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在单边声麻中隐性病变的发生率,原因不明

Hung-Wei Chen¹, Feng-Chuan Lin², Li-Jen Liao³

¹Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

Journal of the Formosan Medical Association = Taiwan yi zhi

|June 13, 2025

概括

无法解释的声麻往往隐藏着潜在的病变. 这项研究在39.6%的病例中发现了隐性病变,在老年吸烟者中更常见,胸部病变经常是恶性的.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经学神经学
放射学放射学是一门学科.

背景情况:

单侧声麻 (UVFP) 可能源于各种原因,包括阳性因素,创伤和神经疾病.
显著比例的UVFP病例仍然未被诊断,促使对潜在的隐性病变进行调查.

研究的目的:

在UVFP患者中确定循环喉神经 (RLN) 和迷走神经沿线隐性病变的发生率.
为了确定患者的人口统计和与隐性病变相关的风险因素.

主要方法:

对被诊断患有UVFP的患者的医疗病历进行回顾.
详细的病史,包括之前的手术,癌症,创伤和输管.
图像学研究 (CT扫描,MRI) 对于未知UVFP原因的患者.
将患者分为"隐性" (发现病变) 和"无病变" (没有发现病变) 组.

主要成果:

在437名患者中,121名患者的UVFP原因不明.
在39.7%的原因不明的患者中检测到隐性病变.
隐秘小组年龄较大 (63.7岁对54.0岁),症状持续时间较短.
吸烟者患隐性病变的发生率更高 (48%对26%).
胸部病变 (87.1%) 的恶性病变率明显高于部病变 (43.8%).

结论:

不知来源的UVFP占所有病例的27.7%.
在UVFP中检测隐性病变的收益率为39.6%.
高龄和吸烟与隐性病变的可能性更高有关.
恶性胸部病变是UVFP患者的一个重要发现.

关键词:

消化道癌是食道的癌症.肺癌是一种肺癌.甲状腺癌是什么?甲状腺癌是什么?声乐麻声乐麻声乐麻

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