全球高球球和球球裂的全球流行:系统性审查和元分析
Răzvan Costin Tudose1, Mugurel Constantin Rusu2
1Division of Anatomy, Department 1, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 8 Eroilor Sanitari Blvd., 050474, Bucharest, Romania. razvan-costin.tudose0721@stud.umfcd.ro.
Anatomical science international
|February 2, 2026
概括
高球球 (HJB) 和球球衰变 (JBD) 是常见的解剖变异. 根据定义和成像,它们的患病率有很大差异,因此需要为手术规划提供标准化的报告.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 高球 (HJB) 和球衰变 (JBD) 是具有临床意义的解剖学变异.
- 现有的HJB和JBD流行数据是不一致的,因为定义和成像方法各不相同.
研究的目的:
- 系统地审查和分析现有文献,以估计HJB和JBD的综合流行率.
- 协调HJB的定义,并根据不同的里程碑标准分析患病率.
主要方法:
- 49项研究的系统审查和元分析,涉及超过43,000个骨和17,000名患者.
- 综合使用随机效应通用线性混合模型的观察性研究.
- 将HJB定义协调为基于里程碑的家族,并对每患者和每耳患病率进行单独分析.
主要成果:
- 汇总的HJB患病率为每名患者24.4%,每个耳朵16.2%,具有显著的异质性 (I2>97%).
- 综合的JBD患病率为每名患者6.1%和每名患者3.2%.
- 根据HJB定义标准,流行率估计有所不同,圆窗/基底转定义的估计比基于内部声学介质的定义更高.
结论:
- HJB和JBD是常见的,在耳科和骨底部手术中需要进行例行手术前成像.
- 存在显著的异质性,强调需要定义特定的流行报告和标准化的成像协议.
- 准确报告定义特定的估计值和成像参数对于手术规划和风险分层至关重要.
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