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磁共振成像 (MRI) 可以减少下三手术期间的语言神经损伤吗? 一个范围审查审查

Rahmeh Alhyari^1,2, P J Ross³, R Sacco⁴

¹Institute of Dentistry, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Foresterhill Campus, Cornhill Road, Aberdeen, AB25 2ZR, UK. r.alhyari.22@abdn.ac.uk.

BMC oral health

|July 27, 2025

概括

磁共振成像 (MRI) 与下第三 (M3M) 手术的标准方法相比,显示了语言神经 (LN) 的优异可视化. 然而,需要更多的临床试验来确认这是否改善了手术结果并减少了神经损伤.

科学领域:

放射学和成像学放射学和成像学
口腔和牙面部外科手术
神经外科神经外科

背景情况:

目前用于下第三手术的成像方法有局限性.
磁共振成像 (MRI) 提供高柔软组织分辨率,并且无辐射.
磁力共振成像技术的进步为改善手术安全提供了潜在的解决方案.

研究的目的:

评估MRI在下三手术 (M3M) 期间降低语言神经 (LN) 损伤风险的实用性.
评估MRI在可视化LN和周围解剖学的能力.
审查有关M3M手术中MRI作用的现有证据.

主要方法:

在多个数据库中按照PRISMA指南进行了系统的文献搜索.
包括评估MRI对LN和相关解剖学的可视化研究.
由于研究异质性,使用范围审查方法进行叙事综合.

主要成果:

包括14项研究;没有一个直接测量下腰椎损伤的减少.
与传统成像相比,MRI表现出优异的LN可视化.
特定的MRI序列 (3D-DESS-WE,SPACE-STIR) 显示出希望,但临床应用受到扫描持续时间,可用性和解释挑战的限制.

结论:

目前缺乏明确的证据将MRI与M3M手术中的LN损伤减少联系起来.
磁力共振成像 (MRI) 提供了LN的增强的手术前可视化.
需要进行进一步的临床试验,以确定改善的可视化是否会导致更好的外科手术结果.

关键词:

语言神经是一种神经.磁共振成像技术磁共振成像技术部第三手术部第三手术神经损伤的神经损伤在手术前进行成像.

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