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阿法西亚和慢性亚皮血瘤疏散:一个回顾性队列研究
Surya Patil1, John J Francis1,2, Michelot Michel1,3
1Department of Neurosurgery, Cedars-Sinai, Los Angeles, California, USA.
Neurosurgery practice
|October 30, 2025
概括
在慢性腹膜下血液瘤 (cSDH) 患者中,特别是左侧SDH患者中,失言症很常见. 大多数患者在手术疏散后经历了显著的语言障碍改善或解决.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 慢性腹腔内血瘤 (cSDH) 的发生率正在上升.
- 失言症是左侧SDH的常见神经症状.
- 有限的数据存在于SDH疏散后的失语恢复.
研究的目的:
- 在接受cSDH疏散的患者中分析语盲和康复率.
- 在cSDH患者中识别失言症的危险因素.
- 为管理和康复cSDH患者提供洞察力.
主要方法:
- 对接受cSDH疏散的成年患者的回顾性分析 (2013年11月 - 2021年12月).
- 患者按在呈现时的口音障碍的存在/缺席进行分类.
- 在出院和随访时记录的失言症改善和解决.
主要成果:
- 在311名cSDH患者中,10%的患者表现为失言症.
- 左侧SDH显著增加了失言症风险 (OR4.89,P<.001).
- 手术后,90%的病情有所改善,73%的病情在出院后得到解决;83%的病情在随访后得到解决.
结论:
- 这是关于cSDH的失言症的第一个详细研究之一.
- 研究结果有助于对患有失语症的cSDH患者进行管理和康复计划.
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