花中部延伸对根出口区可见性的影响,在半面的微血管减压期间
Masaki Ujihara1, Masahito Kobayashi2, Masaya Sato2
1Department of Neurosurgery, Saitama Medical University, 38 Morohongo, Moroyama-machi, Saitama, Japan. ujiharam0817@gmail.com.
Neurosurgical review
|July 22, 2025
概括
卷状体的中间延伸,而不是它的大小,会影响面部神经的可见性,而不是面部的微血管减压. 这种解剖学变异对于外科医生来说至关重要,以确保成功的结果.
科学领域:
- 神经外科 神经外科
- 神经解剖学是一个神经解剖学.
- 医疗成像医学成像
背景情况:
- 面部神经的微血管解压 (MVD) 需要可视化面部神经根退出区 (REZ).
- 花的大小可能会阻碍REZ可视化,但即使在正常大小的花中,可见性问题仍然存在.
研究的目的:
- 调查一个假设,解剖关系,特别是花的中间延伸,影响REZ在HFS的MVD期间的可见性.
- 为了将手术前的MRI发现与手术内REZ可见性和手术结果相关联.
主要方法:
- 对65名接受HFS的MVD患者进行了回顾性观察性研究.
- 用3DMRI测量花体积并评估它在面部神经REZ之外的中间延伸.
- 从手术视频中评估REZ可见性,以及与手术结果的相关性.
主要成果:
- 在REZ可视化和没有REZ可视化的情况下,花体积没有显著差异 (0.37毫升与0.41毫升,P=.23).
- 叶片的中部延伸显著与REZ可见性差 (1.9%对41.7%,P=.0002) 相联系.
- 两组之间没有观察到MVD有效性 (P=.88) 或并发症 (P=.41) 的显著差异.
结论:
- 花的中部延伸是一种新的解剖变异,显著影响HFS的MVD期间REZ可见性.
- 这一发现对于外科技术,特别是对于经验较少的外科医生来说很重要,以避免过度的花收缩.
- 虽然不会影响这个队列的结果,但理解这种变异是优化手术方法的关键.
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