在未经治疗的单侧静脉 Schwannoma 患者的静脉功能和投诉
Constanza Fuentealba Bassaletti1, Babette F van Esch1, Kenny van Lieshout2
1Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center.
概括
静脉 schwannoma 患者经常有客观的静脉异常. 然而,客观测试和瘤大小并不能预测头或生活质量,尽管会影响到它.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
背景情况:
- 前庭神经瘤 (Vestibular schwannoma) 是一种影响前庭神经的瘤.
- 了解VS对前庭功能和生活质量 (QoL) 的影响至关重要.
研究的目的:
- 用客观测试来评估未经治疗的单侧VS患者的前庭功能.
- 为了将客观发现与主观投诉和QOL相关联.
- 为了确定影响前庭功能的患者和瘤特征.
主要方法:
- 对18岁以上未经治疗的单边VS患者进行前性横截面研究.
- 评估包括热量测试,视频头部冲动测试 (vHIT),宫前庭唤起肌原潜力 (cVEMP),头障碍库存 (DHI),PANQOL和SF-36.
- 线性回归分析了前体功能的预测因素.
主要成果:
- 89%的患者表现出客观的前体异常.
- vHIT结果与热量测试,听力损失和瘤大小相关.
- 在客观前庭检测,瘤特征和主观结果 (头,QoL) 之间没有发现显著的相关性.
- DHI分数与PANQOL分数有很强的相关性.
结论:
- 在VS患者中,口腔病情显著影响了QoL.
- 虽然vHIT与瘤大小和听力损失相关,但客观测试和瘤特征不能预测这个队列中的主观投诉或QoL.
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